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Case Reports
. 2000 Feb;7(1):16-20.
doi: 10.1177/152660280000700103.

Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma

A C Lobato  1 , R C Quick, B Phillips, M Vranic, J Rodriguez-Lopez, M Douglas, E B Diethrich
Affiliations
Case Reports

Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma

A C Lobato et al. J Endovasc Ther. 2000 Feb.

Abstract

Purpose: To report the immediate endovascular treatment of a thoracic aortic tear secondary to blunt trauma.

Methods and results: A 39-year-old man was injured in a motor vehicle collision. In addition to significant trauma to the head, chest, and abdomen, there were signs of a deceleration injury to the thoracic aorta. After urgent celiotomy to repair a lacerated spleen, the thoracic aortic transection was treated intraluminally using an endograft made of Gianturco Z-stents covered with polytetrafluoroethylene. The patient recovered from his injuries, and the thoracic endograft shows no evidence of endoleak 7 months after treatment.

Conclusions: Endoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries.

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