Endovascular repair in atypical traumatic rupture of thoracic aorta

The traumatic rupture of thoracic aorta is a surgical emergency with high risk of morbidity and mortality. We describe the case of an atypical rupture of retro-cardiac thoracic aorta with dissection of brachiocephalic trunk and spleen trauma occurred after a road accident. TC scan and perioperative...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2008-10, Vol.29 (10), p.429-431
Main Authors: Benedetto, F, La Spada, M, Stilo, F, De Caridi, G, Cotroneo, A, Passari, G, Spinelli, F
Format: Article
Language:English
Subjects:
Accidents, Traffic
Aorta, Thoracic - injuries
Aorta, Thoracic - pathology
Aorta, Thoracic - surgery
Aortic Rupture - diagnosis
Aortic Rupture - surgery
Brachiocephalic Trunk - injuries
Brachiocephalic Trunk - surgery
Humans
Male
Treatment Outcome
Vascular Surgical Procedures - methods
Young Adult
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Summary:The traumatic rupture of thoracic aorta is a surgical emergency with high risk of morbidity and mortality. We describe the case of an atypical rupture of retro-cardiac thoracic aorta with dissection of brachiocephalic trunk and spleen trauma occurred after a road accident. TC scan and perioperative angiography showed an atypical rupture of thoracic aorta. A combined treatment, endovascular for retro-cardiac thoracic aorta and surgical for brachiocephalic artery, has been useful to diminish the hemodynamic and organ ischemic problems associated with open surgery.
ISSN:0391-9005