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. 2012 Mar;203(3):401-4; discussion 404.
doi: 10.1016/j.amjsurg.2011.10.008. Epub 2012 Jan 21.

Endovascular repair of traumatic thoracic aortic tears

M Ashraf Mansour  1 , Jeffrey S Kirk, Robert F Cuff, Shonda L Banegas, Gavin M Ambrosi, Timothy H Liao, Christopher M Chambers, Peter Y Wong, John C Heiser
Affiliations

Endovascular repair of traumatic thoracic aortic tears

M Ashraf Mansour et al. Am J Surg. 2012 Mar.

Abstract

Background: Patients with thoracic aorta injuries (TAI) present a unique challenge. The purpose of this study was to review the outcomes of thoracic endovascular aortic repair (TEVAR) in patients with TAI.

Methods: A retrospective chart review of all patients admitted for TEVAR for trauma was performed.

Results: In a 5-year period, 19 patients (6 women and 13 men; average age, 42 y) were admitted to our trauma center with TAI. Mechanism of injury was a motor vehicle crash in 12 patients, motorcycle crash in 2 patients, automobile-pedestrian accident in 2 patients, 1 fall, 1 crush injury, and 1 stab wound to the back. A thoracic endograft was used in 6 patients and proximal aortic cuffs were used in 13 patients (68%). One patient (5%) died. There were no strokes, myocardial infarctions, paraplegia, or renal failure.

Conclusions: TEVAR for TAI appears to be a safe option for patients with multiple injuries. TEVAR in young patients is still controversial because long-term endograft behavior is unknown.

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