title: [TRAUMATIC RUPTURE OF THE AORTIC ISTHMUS: MODERN PERSPECTIVES].
abstract: Traumatic aortic rupture of the thoracic aorta (usually at the isthmus) is frequently associated with concomitant life-threatening injuries. Historically, the conventional care consisted of surgical repair of the lesion performed as soon as possible. However, in spite of constant technical improvements the morbi-mortality remains high because of these associated lesions. In addition, their management can have priority and delay aortic surgery. The endovascular approach has been shown to be a feasible and efficient technique and currently represents a valuable alternative to open surgery for patients with multiple traumas. We report a patient presenting with a traumatic aortic rupture of the aortic isthmus, which was successfully treated by delayed combined endovascular (thoracic aortic stentgrafting) and open approach (hemiaortic arch debranching).
authors.forename: S
authors.initials: S
authors.lastname: Brüls
authors.forename: P
authors.initials: P
authors.lastname: Goffin
authors.forename: N
authors.initials: N
authors.lastname: Sakalihasan
authors.forename: P
authors.initials: P
authors.lastname: Bonnet
authors.forename: J O
authors.initials: JO
authors.lastname: Defraigne
mesh_terms: D001013:Aorta, Thoracic / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D001019:Aortic Rupture / Q000473:pathology / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015607:Stents