Endovascular treatment of pseudoaneurysm of the thoracic aorta from a firearm injury.
A 24-year-old male patient was the victim of a firearm wound that penetrated the thorax. He arrived at another hospital hemodynamically unstable and was submitted to exploratory surgery by means of bithoracotomy. A lesion of the left branch of the pulmonary artery was detected and successfully repaired. He was submitted for computer-aided tomography on the fifth postoperative day, and a lesion of the mid-thoracic aorta was detected, which formed a saccular image. Considering that the patient had already been submitted to a bithoracotomy and that a direct approach to repair would involve another thoracotomy within a short period of time, endovascular treatment was chosen in our hospital. The procedure was performed under fluoroscopy. A second computer-aided tomography indicated adequate treatment of the lesion, with no indication of an endoleak. He has undergone ambulatory follow-up for 36 months without any problem related to the procedure. While endovascular treatment of the aorta has developed enormously, multicenter studies are needed to better define the long-term results of this approach.
Petrucci
Orlando
O
Cardiac Surgery Unit, Department of Surgery, School of Medical Sciences, State University of Campinas, Rua Alexander Fleming, 181, Cidade Universitária Zeferino Vaz, 13083-970, Campinas, São Paulo, Brazil. orlandopetrucci@gmail.com
de Oliveira
Pedro Paulo Martins
PP
Martins
Antonio Sérgio
AS
Vieira
Reinaldo Wilson
RW
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery