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Revista Médica Sinergia

2022, Número 07

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Revista Médica Sinergia 2022; 7 (07)


Trauma cerrado con lesión de aorta torácica: reporte de caso y revisión de tema

Vargas GM, Contreras CC, Rivera CIJ

Idioma: Español
Referencias bibliográficas: 17
Paginas:
Archivo PDF: 278.94 Kb.


RESUMEN

El trauma cerrado con lesión de aorta torácica es una entidad poco común, pero con alta morbimortalidad para el paciente. Por esta razón, el diagnóstico, la clasificación y la escogencia terapéutica representan un reto para el médico tratante. En el presente artículo se describe el caso de un paciente masculino sin antecedentes patológicos que sufre una precipitación desde 4 m de altura, en quien se documenta un pseudoaneurisma en aorta descendente secundaria al trauma.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Estrera AL, Miller CC, Guajardo-Salinas G, Coogan S, Charlton-Ouw K, Safi HJ, et al. Update on blunt thoracic aortic injury: Fifteen-year single-institution experience. J Thorac Cardiovasc Surg. Dec 26, 2012 [cited May 16, 2020];145(3):S154-8. Doi: https://doi.org/10.1016/j.jtcvs.2012.11.074

  2. Akhmerov A, DuBose J, Azizzadeh A. Blunt Thoracic Aortic Injury: Current Therapies, Outcomes, and Challenges. Ann Vasc Dis. Mar 25, 2019 [cited May 16, 2020];12(1):1-5. Doi: https://doi.org/10.3400/avd.ra.18-00139

  3. Boutrous ML, Afifi RO, Azizzadeh A, Estrera AL. Blunt Thoracic Aortic Trauma. In: Stanger OH, Pepper JR, Svensson LG, editores. Surgical Management of Aortic Pathology [Internet]. Vienna: Springer Vienna; Apr 16, 2019 [cited May 16, 2020]:1039-48. Available from: http://link.springer.com/10.1007/978-3-7091-4874-7_74

  4. Mouawad NJ, Paulisin J, Hofmeister S, Thomas MB. Blunt thoracic aortic injury – concepts and management. J Cardiothorac Surg. Apr 19, 2020 [cited May 16, 2020];15(1):62. Doi: https://doi.org/10.1186/s13019-020-01101-6

  5. Fortuna GR, Perlick A, DuBose JJ, Leake SS, Charlton-Ouw KM, Miller CC, et al. Injury grade is a predictor of aortic-related death among patients with blunt thoracic aortic injury. J Vasc Surg. May 01. 2016 [cited May 16, 2020];63(5):1225-31. Doi: https://doi.org/10.1016/j.jvs.2015.11.046

  6. Harris DG, Rabin J, Starnes BW, Khoynezhad A, Conway RG, Taylor BS, et al. Evolution of lesion-specific management of blunt thoracic aortic injury. J Vasc Surg. Aug 01, 2016 [cited May 16, 2020];64(2):500-5. Doi: https://doi.org/10.1016/j.jvs.2015.12.066

  7. Heneghan RE, Aarabi S, Quiroga E, Gunn ML, Singh N, Starnes BW. Call for a new classification system and treatment strategy in blunt aortic injury. J Vasc Surg. Jul 01, 2016 [cited May 16, 2020];64(1):171-6. Doi: https://doi.org/10.1016/j.jvs.2016.02.047

  8. Cheng Y-T, Cheng C-T, Wang S-Y, Wu VC-C, Chu P-H, Chou A-H, et al. Long-term Outcomes of Endovascular and Open Repair for Traumatic Thoracic Aortic Injury. JAMA Netw Open. Feb 08, 2019 [cited May 17, 2020];2(2):e187861. Doi: https://doi:10.1001/jamanetworkopen.2018.7861

  9. Nik M, Rossman N. A case of missed blunt traumatic aortic injury (BTAI). Med J Malaysia. Jun, 2017 [cited May 17, 2020]; 72(3): 193-194. Available from: https://pubmed.ncbi.nlm.nih.gov/28733569/

  10. Bade-Boon J, Mathew JK, Fitzgerald MC, Mitra B. Do patients with blunt thoracic aortic injury present to hospital with unstable vital signs? A systematic review and meta-analysis. Emerg Med J. Apr, 2018 [cited May 17, 2020];35(4):231-7. Available from: https://emj.bmj.com/content/35/4/231.long

  11. Talaie T, Morrison JJ, O’Connor JV. Blunt thoracic aortic injury. J Cardiothorac Trauma. Sep 20, 2018 [cited May 17, 2020];3:11-8. Available from: https://www.jctt.org/text.asp?2018/3/1/11/248105

  12. 12.Mokrane FZ, Revel-Mouroz P, Saint Lebes B, Rousseau H. Traumatic injuries of the thoracic aorta: The role of imaging in diagnosis and treatment. Diagn Interv Imaging. Jul, 2015 [cited May 17, 2020];96(7-8):693-706. Doi: https://doi.org/10.1016/j.diii.2015.06.005

  13. Nagpal P, Mullan BF, Sen I, Saboo SS, Khandelwal A. Advances in Imaging and Management Trends of Traumatic Aortic Injuries. Cardiovasc Intervent Radiol. May, 2017 [cited May 17, 2020];40(5):643–54. Doi: https://doi.org/10.1007/s00270-017-1572-x

  14. Sandhu HK, Leonard SD, Perlick A, Saqib NU, Miller CC, Charlton-Ouw KM, et al. Determinants and outcomes of nonoperative management for blunt traumatic aortic injuries. J Vasc Surg. Feb, 2018 [cited May 18, 2020];67(2):389-98. Doi: https://doi.org/10.1016/j.jvs.2017.07.111

  15. Spencer SM, Safcsak K, Smith CP, Cheatham ML, Bhullar IS. Nonoperative management rather than endovascular repair may be safe for grade II blunt traumatic aortic injuries: An 11-year retrospective analysis. J Trauma Acute Care Surg. Jan, 2018 [cited May 18, 2020];84(1):133–8. Available from https://journals.lww.com/jtrauma/Abstract/2018/01000/Nonoperative_management_rather_than_endovascular.20.aspx

  16. Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ; ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. Nov 01, 2014 [cited Jun 06, 2022];35(41):2873-926. Doi: https://doi.org/10.1093/eurheartj/ehv178

  17. Harky A, Bleetman D, Chan JSK, Eriksen P, Chaplin G, MacCarthy-Ofosu B, et al. A systematic review and meta-analysis of endovascular versus open surgical repair for the traumatic ruptured thoracic aorta. J Vasc Surg. Jan, 2020 [cited May 18, 2020];71(1):270-82. Doi: https://doi.org/10.1016/j.jvs.2019.05.011




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