Fink JG, Fernández SE, Gutiérrez VS, Hurtado LLM, Ruiz DA

Language: Spanish
References: 10
Page: 144-147
PDF size: 201.55 Kb.

ABSTRACT

Objective: To inform of two patients treated surgically through endovascular exclusion of an aortic transection caused by blunt trauma of the thorax, type B of Stanford.
Setting: Third level health care hospital.
Design: Case reports.
Description of patients: Case 1: Man of 44 years with transection of the thoracic aorta secondary to blunt thoracic trauma accompanied by craneo-cephalic, facial trauma, and cervical strain grade II-III. He presented anemia of 4.8 g hemoglobin in relation to values obtained at admittance, with hemodynamic repercussion, which prompted to perform exclusion through the implantation of a Talent straight endoprosthesis. Surgical time was of 1.5 h. The patient remained 4 days in the intensive care unit, was also treated by the ophthalmology, reconstructive, and maxillo-facial surgery services. Total hospital stay was of 9 days. He was released without complications.
Case 2. Man of 24 years, with transection of the thoracic aorta due to blunt trauma of the thorax, with severe cranio-encephalic trauma, cervical strain III, and dislocation of both knees. Exclusion of the rupture was achieved through right transfemoral approach implanting a Talent endoprosthesis. Surgical time was of 1 h-50 min. Eight days after the procedure he was subjected to drainage of a subdural hematoma, he remained at the hospital for 28 days, and was released without complications.
Conclusion: Treatment of traumatic transection of the thoracic aorta is feasible through endovascular surgery.

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