Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report

Frontiers in Surgery

Surgery

Ernesto Fajardo¹  Oscar Geovanny Hernández Rodríguez¹  Vladimir Barón¹  Juan Gabriel Bayona²  Eduardo Posada³  Carlos Eduardo Rey Chaves³ 

[1] Cirugía Vascular Periférica, Pontificia Universidad Javeriana, Facultad de Medicina, Hospital Universitario San Ignacio, Bogotá, Colombia;Cirujano General, Pontificia Universidad Javeriana, Bogotá, Colombia;Estudiante de Posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, Colombia;

关键词: aortic pseudoaneurysm;    penetrating trauma;    endovascular repair;    vascular injury;    outcomes;   

DOI  :  10.3389/fsurg.2023.1264558

 received in 2023-07-21, accepted in 2023-09-26,  发布年份 2023

来源: Frontiers

【 摘 要 】

Penetrating aortic injuries are infrequent. Its incidence is unknown because most patients die of hemorrhage even before they receive adequate treatment. Aortic wounds generally require conventional thoracotomy/laparotomy repair and are related to high mortality rates. Recently with the advent of endovascular techniques, most authors prefer endovascular management when feasible due to better (still poor) outcomes. The short- and mid-term results of immediate endovascular repair of traumatic aortic injuries are promising, especially when compared with open surgical treatment, indicating that endovascular therapy is preferable in patients with multi-trauma and traumatic ruptures of the thoracic aorta. Here we present the diagnosis and treatment of a 30 years-old male patient with multiple traumatic stab wounds, including anterior aortic laceration with a grade II aortic lesion successfully managed with an endovascular stent graft.

【 授权许可】

Unknown   
© 2023 Bayona, Rey Chaves, Hernández Rodríguez, Barón, Fajardo and Posada.