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Case Reports
. 2023 Oct 11:10:1264558.
doi: 10.3389/fsurg.2023.1264558. eCollection 2023.

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

Juan Gabriel Bayona  1 , Carlos Eduardo Rey Chaves  2 , Oscar Geovanny Hernández Rodríguez  3 , Vladimir Barón  3 , Ernesto Fajardo  3 , Eduardo Posada  2
Affiliations
Case Reports

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

Juan Gabriel Bayona et al. Front Surg. .

Abstract

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.

Keywords: aortic pseudoaneurysm; endovascular repair; outcomes; penetrating trauma; vascular injury.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Angiogram showing the location of the aortic lesion, the measured distance from the aortic transection to celiac trunk and the aortic 3d reconstruction.
Figure 2
Figure 2
CT preoperative planification, measurement of the aorta.
Figure 3
Figure 3
CT angiography measurement of the aorta, distance to the ostium of the celiac trunk.
See this image and copyright information in PMC

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