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Updated: Feb 9, 2026
07:52
Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
Published on: January 29, 2011
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Emergency Endografting for Spontaneous Thoracic Aortic Rupture
Hirofumi Kasahara1, Takashi Hachiya2, Atsuo Mori2
1Department of Cardiovascular Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Chiba, Japan.
Summary
Spontaneous rupture of the thoracic aorta is a rare, life-threatening event. Emergency endovascular repair, guided by CT scans, successfully treated a patient with aortic arch rupture and shock.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Emergency Medicine
Background:
- Spontaneous rupture of the thoracic aorta is a rare but catastrophic vascular emergency.
- Prompt diagnosis and intervention are critical for patient survival.
Observation:
- A 76-year-old male presented with spontaneous rupture of the aortic arch, massive periaortic hematoma, and hypovolemic shock.
- The precise rupture site was not immediately identifiable on initial imaging.
Findings:
- Emergency hybrid endovascular aortic repair was performed, shielding a large aortic segment.
- Immediate improvement in blood pressure was observed post-endograft deployment, indicating successful hemorrhage control.
Implications:
- Computed tomography (CT) scans are crucial for rapid diagnosis and guiding endovascular repair.
- Endovascular aortic repair offers a life-saving option for managing complex aortic arch ruptures, even when the exact rupture site is unclear.
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