Korean Circ J.  2012 May;42(5):341-344. 10.4070/kcj.2012.42.5.341.

Endovascular Stent in Traumatic Thoracic Aortic Dissection

• Jang MO
• Kim JH
• Oh SK
• Lee MG
• Park KH
• Sim DS
• Hong YJ
• Ahn Y
• Jeong MH

• KMID: 2028763
• DOI: http://doi.org/10.4070/kcj.2012.42.5.341

Abstract

Traumatic thoracic aortic injury is typically fatal. However, recent improvements in pre-hospital care and diagnostic modalities have resulted in an increased number of patients with traumatic aortic injury arriving alive at the hospital. Also, the morbidity and mortality associated with endovascular repair are significantly lower than with conventional open surgery in traumatic thoracic aorta injury. We experienced two cases of successful management of traumatic thoracic aortic dissection with endovascular stents caused by traffic accidents.

Keyword

Aorta, thoracic; Dissection; Aortography; Multidetector computed tomography

MeSH Terms

Accidents, Traffic
Aorta, Thoracic
Aortography
Humans
Multidetector Computed Tomography
Stents

Figure

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  Fig. 1 Chest computed tomography angiogram shows traumatic aortic dissection in proximal descending thoracic aorta/distal aortic arch around aortic isthmus with left pleural effusion. A: aortic arch level. B: pulmonary artery level. C: anterior view. D: posterior view.

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  Fig. 2 Follow-up chest computed tomography angiogram shows vascular stent graft insertion state from distal aortic arch to proximal descending thoracic aorta and resolved state of previous traumatic aortic dissection. A: anterior view. B: posterior view.

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  Fig. 3 Initial chest computed tomography angiogram shows traumatic aortic dissection in distal aortic arch/proximal descending thoracic aorta with surrounding hematoma.

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  Fig. 4 Follow-up chest computed tomography angiogram shows graft insertion state from distal aortic arch to proximal descending thoracic aorta and resolved state of previous traumatic aortic dissection.

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