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[Traumatic Thoracic Aortic Injury].

Yoshimori Araki1, Akihiko Usui

  • 1Department of Cardiac Surgery, Nagoya University School of Medicine, Nagoya, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 23, 2015
PubMed
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Prompt diagnosis and treatment of thoracic aortic injuries are vital. Both endovascular repair and open repair are effective options, depending on patient stability and suitability for thoracic endovascular aortic repair (TEVAR).

Area of Science:

  • Trauma surgery
  • Cardiovascular surgery
  • Vascular surgery

Background:

  • Thoracic aortic injuries present a critical emergency with high mortality rates.
  • Timely and accurate diagnosis is essential for patient survival.
  • Endovascular repair is a valuable option for hemodynamically unstable patients with multiple injuries.

Observation:

  • This report details three cases of blunt aortic injury.
  • Two patients were successfully treated with thoracic endovascular aortic repair (TEVAR).
  • One patient, unsuitable for TEVAR, underwent successful open repair.

Findings:

  • Both TEVAR and open repair are viable treatment modalities for blunt aortic injuries.
  • Treatment choice depends on patient hemodynamic status and anatomical suitability for TEVAR.

Related Experiment Videos

  • Successful outcomes were achieved with both endovascular and open surgical approaches.

    • Implications:

    • These cases highlight the importance of tailored treatment strategies for thoracic aortic injuries.
    • TEVAR offers a less invasive option for select patients.
    • Open repair remains a crucial alternative for those not eligible for endovascular procedures.