Emergency endovascular treatment of an acute traumatic rupture of the thoracic aorta complicated by a distal low-flow syndrome
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We report the case of a patient who suffered major trauma following a motorcycle accident that resulted in multiple fractures, bilatéral hemopneumothorax, pulmonary contusions, and an isthmic rupture of the aorta with a pseudoaneurysm compressing the descending aorta. This compression was responsible for distal hypotension and low flow, leading to acute rénal insufficiency and massive rhabdomyolysis. Due to the critical clinical status of the patient, which prevented any type of open thoracic surgery, endovascular treatment was performed. An initial stent-graft permitted alleviation of the compression and the re-establishment of normal hemodynamic conditions, but its low position did not allow sufficient coverage of the rupture. A second stent-graft permitted total exclusion of the pseudoaneurysm while preserving the patency of the left subclavian artery.
Key wordsAorta Rupture Pseudoaneurysm Low flow Stent-graft
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- 1.Cornwell EE, Kennedy F, Berne TV, Asensio JA, Demetriades D (1995) Gunshot wounds to the thoracic aorta in the 90s: Only prevention will make a difference. Ara Surg 61:721–723Google Scholar
- 9.Donayre CE, Scoccianti M (1995) Applications in peripheral vascular surgery: Traumatic arteriovenous fistulas and pseudoaneurysms. In: Chuter TAM, Donayre CE, White RA (eds) Endovascular Prosthesis. Little, Brown, Boston, pp 217–236Google Scholar