title: Endovascular salvage of complications following initial open repair of blunt traumatic thoracic aortic injuries.
abstract: Endovascular repair of blunt thoracic aortic injuries (BTAI) has largely replaced open repair at many trauma centers despite limited long-term data. It is important to remember that the ''gold standard'' open repair to which it is compared also suffers from a shortage of long-term follow-up and often less than ideal short- and long-term results. The following report describes 2 patients who initially underwent urgent open repair of a BTAI and represented with an acquired coarctation and aneurysmal degeneration 4 and 27 years following their initial repair, respectively. Both patients underwent successful endovascular salvage of these complications.
authors.affiliation: Division of Vascular Surgery, London Health Sciences Centre & The University of Western Ontario, London, ON, Canada.
authors.forename: Diane
authors.initials: D
authors.lastname: Park
authors.forename: Chandheeb
authors.initials: C
authors.lastname: Rajakumar
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Forbes
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016879:Salvage Therapy; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000601:surgery*; D055815:Young Adult