Endovascular repair of a thoracic aortic injury in a burn patient.
Mortality in burn patients who sustain concomitant mechanical traumatic injuries at the time of thermal injury is greater than in patients who sustain isolated injuries. Invasive interventions to treat these mechanical traumatic injuries may be a source of added mortality and contribute to an injury-induced state of immunosuppression. Less-invasive interventions may minimize morbidity and mortality and allow for improved recovery from thermal injury. A case is presented of a patient who sustained 20% TBSA electrical burns and an acute thoracic aortic injury near the diaphragmatic hiatus. Abdominal aortic stent-graft components were used to successfully exclude the patient's thoracic aortic injury. The patient made a successful recovery from his burns and sustained no infectious complications. This case report highlights the potential advantages of endovascular therapy for the treatment of aortic trauma in patients who sustain concomitant burn injuries.
Department of Surgery Division of Vascular Surgery, Burns North Carolina Jaycee Burn Center, University of North Carolina Hospitals, Chapel Hill, NC 27514, USA.
Paul J
PJ
Riesenman
Laura C
LC
Kissell
William A
WA
Marston
Bruce A
BA
Cairns
D000208:Acute Disease; D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D002058:Burns, Electric / Q000150:complications* / Q000401:mortality; D006801:Humans; D008297:Male; D016378:Tissue Transplantation; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000601:surgery*