[Management of thoracic aorta traumatism in 5 multiple traumatized patients].
Thoracic aorta traumatism is a lesion associated to high morbidity-mortality at the site of the accident. In the 90's, treatment by placement of an endovascular stent was generalized with good results. In this work, we present a series of 5 clinical cases of patients admitted to the Intensive Care Unit of our hospital during the year 2006. Out of a total of 619 patients admitted in the same period, 121 (19.5%) were traumatic and 5 (4.13%) had thoracic aorta traumatisms. All of the patients were diagnosed by thoracic helical computed tomography on admission. Four patients had a pseudoaneurism of the aorta and underwent an operation. Three received endovascular treatment within the first 36 hours and the fourth on day 28 of admission. The fifth patient had a lesion of the intima and was not operated on. Posterior evolution was good in all the cases.
Ortiz
P
P
Servicio de Medicina Intensiva. Hospital Universitari de Girona Doctor Josep Trueta. Girona. España. ballujera@hotmail.com.
Taché
A
A
Sirvent
J M
JM
Bonet
A
A
Febrer
M
M
Andrés
O
O
D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging* / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures