Chronic traumatic thoracic aortic aneurysms-results of endovascular treatment. Fourteen-year single-center experience.
OBJECTIVE
Chronic traumatic thoracic aneurysms are results of blunt trauma of the chest during motorcar accident. Treatment of choice is the endovascular procedure with stent-graft.


METHODS
Between 2000-2012 in General and Thoracic Surgery Department 30 patients with post-traumatic aneurysms were operated. In all cases aneurysm was located below left subclavian artery and in 63% developed during road traffic accident.


RESULTS
All patients were operated on with 100% technical success and no device failure was noticed. None of patients died during the endovascular procedure and no serious complications like spinal cord ischemia was observed. In one (3%) case, where left subclavian artery was covered, stroke was diagnosed treated conservatively.


CONCLUSIONS
At long-term follow-up, one endoleak type IA was found, solved with balloon-plasty. Two patients died due to cardiac diseases.
Department of General and Thoracic Surgery, Medical University of Warsaw, Warsaw, Poland - gogutek@me.com.
M M
MM
Szostek
W
W
Jakuczun
A
A
Alagbari
R
R
Pogorzelski
M
M
Szostek
M
M
Osęka
M
M
Skórski
A
A
Kącka
M
M
Piotrowski
D000063:Accidents, Traffic; D000784:Aortic Dissection / Q000601:surgery; D017541:Aneurysm, False / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D057867:Endoleak / Q000209:etiology; D057510:Endovascular Procedures; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013902:Radiography, Thoracic; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000209:etiology / Q000601:surgery*