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 Scopus citations

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 1 2012

Keywords

  • Endovascular repair
  • Injury
  • Thoracic aorta

ASJC Scopus subject areas

  • Surgery

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    Mansour, M. A., Kirk, J. S., Cuff, R. F., Banegas, S. L., Ambrosi, G. M., Liao, T. H., Chambers, C. M., Wong, P. Y., & 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