title: [Implantation of stent- graft because of aorta rupture in polytrauma].
abstract: The article describes the clinical case and analyzes the literature concerning endoprosthesis replacement in the case of traumatic thoracic aortic injury in polytrauma. Current strategy of diagnostics and treatment of patient in critical condition with rupture of isthmic aortic part is based on the principle of multistage surgical treatment (damage control orthopedic). The external fixation of multiple pelvis and extremities fractures and on-time implantation of stent-graft in thoracic aortic part were performed at first hours after the admission. A condition of the patient was stabilized. The delayed reconstructive operations on pelvis and extremities bones allowed obtaining the satisfactory functional result. The principles of staged surgical treatment and the use of on-time high-technology methods allowed saving life for the patient even in critical situation in I level traumatologic centre.
authors.forename: I M
authors.initials: IM
authors.lastname: Samokhvalov
authors.forename: A N
authors.initials: AN
authors.lastname: Petrov
authors.forename: A A
authors.initials: AA
authors.lastname: Erofeev
authors.forename: A N
authors.initials: AN
authors.lastname: Shishkevich
authors.forename: A A
authors.initials: AA
authors.lastname: Rud'
authors.forename: M A
authors.initials: MA
authors.lastname: Vasil'ev
authors.forename: M B
authors.initials: MB
authors.lastname: Borisov
authors.forename: N G
authors.initials: NG
authors.lastname: Bobrovskiĭ
authors.forename: S V
authors.initials: SV
authors.lastname: Nedomolkin
authors.forename: K N
authors.initials: KN
authors.lastname: Alekseev
authors.forename: V A
authors.initials: VA
authors.lastname: Reva
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000293:injuries / Q000503:physiopathology / Q000601:surgery; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000150:complications / Q000503:physiopathology; D011183:Postoperative Complications / Q000628:therapy*; D012086:Reoperation; D012421:Rupture / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D018805:Sepsis / Q000209:etiology / Q000628:therapy; D015607:Stents; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000009:adverse effects / Q000379:methods; D014949:Wounds, Nonpenetrating