Borulu F, Erkut B

Language: Spanish
References: 12
Page: 95-99
PDF size: 899.70 Kb.

ABSTRACT

The applications of thoracic aorta pathologies with a stent graft percutaneously have been performed for the first time since the beginning of the 20th century. Computed tomography was performed on a 79-year-old patient who was brought to the emergency room due to an in-vehicle traffic accident with severe back pain, and DeBakey type III aortic dissection was determined. An endovascular self-expanding nitinol stent (Talent Stent Graft, Medtronic) was implanted in the descending aorta where the dissected segment begins. Stent graft implantation is an effective method in preventing organ ischemia and rupture in traumatic aortic pathologies. This procedure is less invasive and has less complication than surgical approach. It is effective in providing blood flow quickly and safely.

REFERENCES

1. Cornwell EE, Kennedy F, Berne TV, Asensio JA, Demetriades D. Gunshot wounds to the thoracic aorta in the '90s: only prevention will make a difference. Am Surg. 1995;61(8):721-3.

2. Soyer R, Bessou JP, Bouchart F, Tabley A, Mouton-Schleifer D, Arrignon J, et al. Acute traumatic isthmic aortic rupture. Long-term results in 49 patients. Eur J Cardiothorac Surg. 1992;6(8):431-6. DOI: https://doi.org/10.1016/1010-7940(92)90068-9

3. Glock Y, Roux D, Soula P, Cerene A, Fournial G. Roturas traumáticas de la aorta torácica. Rev Esp Cardiol. 1996;49(Suppl 4):100-6.

4. Svensson LG, Crawford ES, Hess KR, Coselli JS, Safi HJ. Dissection of the aorta and dissecting aortic aneurysms. Improving early and long-term surgical results. Circulation. 1990;82(5 Suppl):24-38.

5. Islamoglu F. Torasik aort hastaliklarinda endovasküler tedavi. En: Paç M, Akçevin A, Aka SA, Buket S, Sarioglu T, editörler. Kalp ve damar cerrahisi. Cilt 1. Ankara: MN Medikal & Nobel; 2004. p. 1035-39.

6. Shkrum MJ, McClafferty KJ, Green RN, Nowak ES, Young JG. Mechanisms of aortic injury in fatalities occurring in motor vehicle collisions. J Forensic Sci. 1999;44(1):44-56.

7. Lorenzen HP, Geist V, Hartmann F, Sievers H, Richardt G. Endovascular stent-graft implantation in acute traumatic aortic dissection with contained rupture and hemorrhagic shock. Z Kardiol. 2004;93(4):317-21. DOI: https://doi.org/10.1007/s00392-004-0065-5

8. Kalmár P, Püschel K, Stubbe HM, Gültekin E. Delayed surgical therapy of acute aortic rupture. Zentralbl Chir. 1996;121(9):750-5.

9. Orford VP, Atkinson NR, Thomson K, Milne PY, Campbell WA, Roberts A, et al. Blunt traumatic aortic transection: The endovascular experience. Ann Thorac Surg. 2003;75(1):106-12. DOI: https://doi.org/10.1016/s0003-4975(02)04331-x

10. Doss M, Balzer J, Martens S, Wood JP, Wimmer-Greinecker G, Fieguth HG, et al. Surgical versus endovascular treatment of acute thoracic aortic rupture: a single-center experience. Ann Thorac Surg. 2003;76(5):1465-9. DOI: https://doi.org/10.1016/s0003-4975(03)00877-4

11. von Oppell UO, Dunne TT, De Groot MK, Zilla P. Traumatic aortic rupture: twenty-year metaanalysis of mortality and risk of paraplegia. Ann Thorac Surg. 1994;58(2):585-93. DOI: https://doi.org/10.1016/0003-4975(94)92270-5

12. Mitchell RS, Miller DC, Dake MD, Semba CP, Moore KA, Sakai T. Thoracic aortic aneurysm repair with an endovascular stent graft: . Ann Thorac Surg. 1999;67(6):1971-4. DOI: https://doi.org/10.1016/s0003-4975(99)00436-1