Endovascular Repair in Acute Traumatic Disruption of the Thoracic Aorta

Authors

  • Worawong Slisatkorn Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University
  • M Dinkelman Department of Vascular Surgery, University Medical Center Utrecht
  • RJ Hissink Department of Vascular Surgery, University Medical Center Utrecht
  • HJM Verhagen Department of Vascular Surgery, University Medical Center Utrecht
  • FL Moll Department of Vascular Surgery, University Medical Center Utrecht

Keywords:

Endovascular repair, Traumatic disruption, Thoracic aorta

Abstract

Objective: To evaluate thoracic endovascular repair in patients with blunt traumatic thoracic aortic disruption.
Methods: From February 2002 to August 2004, five multitrauma patients (4 males, 1 female) from motor vehicle accidents presented with traumatic thoracic aortic disruption. The mean age of the patients was 42 years (22-70 years). All were treated by acute endovascular repair with a covered stent graft through the femoral artery approach without administration of heparin.
Results: The mean operative time was 101 minutes (75-125 minutes) with negligible intraoperative blood loss. There was no intervention related mortality and no paraplegia. In all cases the subclavian artery was over-stented intentionally, no arm ischemia was observed. One patient died after 1 week due to unrelated causes. Another patient died after 1 year from cardiomyopathy. Follow-ups of the other 3 patients (median 30 months) show good results. There was no endoleak, no stentgraft migration and no structural failure.
Conclusion: Endovascular repair in acute traumatic disruption of the thoracic aorta is technically feasible, safe and with good midterm follow-up results. This procedure is an effective alternative to open surgery for multitrauma and high-risk patients.

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Published

01-04-2006

How to Cite

Slisatkorn, W. ., Dinkelman, . M. ., Hissink, R. ., Verhagen, H. ., & Moll, F. . (2006). Endovascular Repair in Acute Traumatic Disruption of the Thoracic Aorta. Siriraj Medical Journal, 58(4), 747–750. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245809

Issue

Vol. 58 No. 4 (2006): April

Section

Original Article

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