Endovascular repair of traumatic thoracic aortic tears

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

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)401-404
Number of pages4
JournalAmerican Journal of Surgery
Volume203
Issue number3
DOIs
StatePublished - Mar 2012
Externally publishedYes

Fingerprint

Tears
Thorax
Thoracic Injuries
Thoracic Aorta
Motorcycles
Stab Wounds
Automobiles
Multiple Trauma
Trauma Centers
Paraplegia
Wounds and Injuries
Motor Vehicles
Accidents
Renal Insufficiency
Stroke
Myocardial Infarction

Keywords

  • Endovascular repair
  • Injury
  • Thoracic aorta

ASJC Scopus subject areas

  • Surgery

Cite this

Mansour, M. A., Kirk, J. S., Cuff, R. F., Banegas, S. L., Ambrosi, G. M., Liao, T. H., ... Heiser, J. C. (2012). Endovascular repair of traumatic thoracic aortic tears. American Journal of Surgery, 203(3), 401-404. https://doi.org/10.1016/j.amjsurg.2011.10.008

Endovascular repair of traumatic thoracic aortic tears. / Mansour, M. Ashraf; Kirk, Jeffrey S.; Cuff, Robert F.; Banegas, Shonda L.; Ambrosi, Gavin M.; Liao, Timothy H.; Chambers, Christopher M.; Wong, Peter Y.; Heiser, John C.

In: American Journal of Surgery, Vol. 203, No. 3, 03.2012, p. 401-404.

Research output: Contribution to journalArticle

Mansour, MA, Kirk, JS, Cuff, RF, Banegas, SL, Ambrosi, GM, Liao, TH, Chambers, CM, Wong, PY & Heiser, JC 2012, 'Endovascular repair of traumatic thoracic aortic tears', American Journal of Surgery, vol. 203, no. 3, pp. 401-404. https://doi.org/10.1016/j.amjsurg.2011.10.008
Mansour MA, Kirk JS, Cuff RF, Banegas SL, Ambrosi GM, Liao TH et al. Endovascular repair of traumatic thoracic aortic tears. American Journal of Surgery. 2012 Mar;203(3):401-404. https://doi.org/10.1016/j.amjsurg.2011.10.008
Mansour, M. Ashraf ; Kirk, Jeffrey S. ; Cuff, Robert F. ; Banegas, Shonda L. ; Ambrosi, Gavin M. ; Liao, Timothy H. ; Chambers, Christopher M. ; Wong, Peter Y. ; Heiser, John C. / Endovascular repair of traumatic thoracic aortic tears. In: American Journal of Surgery. 2012 ; Vol. 203, No. 3. pp. 401-404.
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