Open vs endovascular repair of blunt traumatic thoracic aortic injuries.
A 42-year-old female is involved in a motor vehicle accident and presents with a number of injuries. She is hemodynamically stable and is found to have multiple rib fractures, a hemopneumothorax, and several uncomplicated long bone fractures. A CT scan of her chest reveals a traumatic injury to her proximal descending thoracic aorta with evidence of pseudoaneurysm formation and surrounding hematoma (Fig 1). The following debate attempts to resolve whether open repair remains the gold standard for the treatment of blunt thoracic aortic injuries.
Division of Vascular Surgery, Vancouver General Hospital & University of British Columbia, British Columbia, Canada.
SourceJournal of vascular surgery : official publication, the Society for Vascular Surgery [and] International Society for Cardiovascular Surgery, North American Chapter 51:3 2010 Mar pg 763-9
Aortic Aneurysm, Thoracic
Practice Guidelines as Topic
Tomography, X-Ray Computed
Vascular Surgical Procedures
Wounds and Injuries
Pub Type(s)Comparative Study