TY - JOUR
T1 - Endovascular treatment of traumatic thoracic aortic rupture combined with diaphragmatic rupture
T2 - A case report
AU - Zeebregts, Clark J.
AU - Klaase, Joost M.
AU - Geelkerken, Robert H.
PY - 2003/1/1
Y1 - 2003/1/1
N2 - The purposes of this report are to describe the immediate repair of a diaphragmatic rupture and subsequent endovascular treatment of a thoracic aortic rupture secondary to blunt chest and abdominal trauma and to discuss the outcome in the light of the trauma scores. A 29-year-old man was injured in a car collision. There were signs of a left diaphragmatic rupture and spleen injury. After urgent laparotomy, the diaphragm was repaired. The spleen appeared uninjured; however, there was a dissection with a transmural tear of the thoracic aorta, which was subsequently treated intraluminally by using a Talent™ endovascular graft and two AneuRx™ aortic extension cuffs. The patient fully recovered, and the thoracic endograft showed no evidence of endoleak both 1 month and 1 year after treatment. Fourteen months after the operation, the patient is doing well. Endoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries, even in the presence of a diaphragmatic rupture. With the introduction of advanced repair modalities, such as endovascular techniques, mortality rates will decrease and may eventually alter injury-scoring systems such as the Injury Severity Score.
AB - The purposes of this report are to describe the immediate repair of a diaphragmatic rupture and subsequent endovascular treatment of a thoracic aortic rupture secondary to blunt chest and abdominal trauma and to discuss the outcome in the light of the trauma scores. A 29-year-old man was injured in a car collision. There were signs of a left diaphragmatic rupture and spleen injury. After urgent laparotomy, the diaphragm was repaired. The spleen appeared uninjured; however, there was a dissection with a transmural tear of the thoracic aorta, which was subsequently treated intraluminally by using a Talent™ endovascular graft and two AneuRx™ aortic extension cuffs. The patient fully recovered, and the thoracic endograft showed no evidence of endoleak both 1 month and 1 year after treatment. Fourteen months after the operation, the patient is doing well. Endoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries, even in the presence of a diaphragmatic rupture. With the introduction of advanced repair modalities, such as endovascular techniques, mortality rates will decrease and may eventually alter injury-scoring systems such as the Injury Severity Score.
UR - http://www.scopus.com/inward/record.url?scp=0038359679&partnerID=8YFLogxK
U2 - 10.1177/153857440303700310
DO - 10.1177/153857440303700310
M3 - Article
C2 - 12799732
AN - SCOPUS:0038359679
SN - 1538-5744
VL - 37
SP - 219
EP - 223
JO - Vascular and Endovascular Surgery
JF - Vascular and Endovascular Surgery
IS - 3
ER -
