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Case Reports
. 2021 Sep;37(5):554-557.
doi: 10.1007/s12055-021-01138-9. Epub 2021 Feb 3.

Endovascular repair of a distal thoracic aortic transection in association with traumatic burst fracture

Kemal Eşref Erdoğan  1 , Muhammed Said Beşler  2 , Murat Canyiğit  3 , Mete Hıdıroğlu  1
Affiliations
Case Reports

Endovascular repair of a distal thoracic aortic transection in association with traumatic burst fracture

Kemal Eşref Erdoğan et al. Indian J Thorac Cardiovasc Surg. 2021 Sep.

Abstract

We present an endovascular repair of aortic transection at distal thoracic level due to traumatic burst fracture. The association of blunt aortic transections and thoracic burst fractures is very rare. Contemporary preferred treatment approach is endovascular aortic repair, because of low mortality rates. The aortic repair procedure should be performed before spinal stabilization surgery. In this case report, we present a 49-year-old male patient with blunt traumatic descending thoracic aortic transection, treated by endovascular aortic repair. In conclusion, the emergent endovascular repair is a preferable method to treat the traumatic distal thoracic aortic transection.

Keywords: Aortic transection; Endovascular repair; Thoracic burst fracture.

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Conflict of interest statement

Conflict of interestThe authors have no conflicts of interest to declare that are relevant to the content of this article.

Figures

Fig. 1
Fig. 1
Reformatted CT angiography showing distal thoracic aortic transection (arrow) adjacent to vertebral burst fracture (arrowhead) at T11 level (a). Axial image in the same CT angiography reveals aortic transection (arrow) and periaortic hematoma (asterisks) (b)
Fig. 2
Fig. 2
Completion angiogram showing adequate stent-graft placement with no endoleak or kink
Fig. 3
Fig. 3
Postoperative reformatted CT scan shows the aortic stent graft with no endoleak or kink. Note that the celiac artery (arrow) and the superior mesenteric artery (arrowhead) are patent
See this image and copyright information in PMC

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