Travmatik Torasik Aort Disseksiyonu Endovasküler Tamiri: Olgu sunumu

Yıl 2014, Cilt: 15 Sayı: 3, 326 - 330, 01.12.2014

Mustafa Aldemir Fahri Adalı Nazan Okur Emre Kaçar Özlem Güleç Devrim Eroğlu

Öz

Traumatic thoracic aortic dissections are usually lifethreatining injuries in at least 75 % of victims. Open surgical graft interposition has been accepted as a traditional treatment option of those injuries, but conventional open surgery is commonly unreliable in emergent conditions due to coincident injuries. Open surgery has also high mortality rates. Endovascular repair of traumatic aortic disruption is a safer alternative treatment modality having low mortality rates than conventional repairs. We reported a case of successful repair of traumatic thoracic aortic dissection with endovascular stent graft-caused by a traffic accident

Anahtar Kelimeler

Aorta; thoracic; dissection; endovascular

Travmatik Torasik Aort Disseksiyonu Endovasküler Tamiri: Olgu sunumu

Öz

Travmatik torasik aort disseksiyonları genellikle hayatı tehdit eden ve maruz kalanların % 75 inin kaybedildiği ciddi yaralanmalardır. Açık cerrahi ile greft interpozisyonu geleneksel kabul görmüş tedavidir. Ancak acil multitravmalı hastalarda ek yaralanmalar nedeni ile uygulama alanı azdır ve mortalite oranlarıda yüksektir. Travmatik torasik aort yaralanmalarında endovasküler greftleme ile tamir, konvansiyonel açık cerrahiye göre düşük mortaliteye sahip güvenli bir alternatiftir. Bu yazıda endovasküler stent greft ile tamir edilen travmatik torasik aort disseksiyonlu bir olguyu sunduk

Anahtar Kelimeler

Anahtar endovasküler

Kaynakça

• Finkelmeier BA, Mentzer RM Jr, Kaiser DL, et al. Chronic traumatic thoracic aneurysm: influence of operative treatment on natural history: an analysis of reported cases. J Thorac Cardiovasc Surg 1982;84(2):257-66.
• Shim WH, Choi D, Yoon YS, LEE DY, Jang BC. Bifur- cated stent-graft (Vanguard) for the endovascular treatment of abdominal aortic aneurysm. Korean Circ J 1999;29(9):907-12.
• Kang WC, Joung BY, Ko YG, et al. Favorable out- come of endovascular stent-graft implantation for Stanford type B aortic dissection. Korean Circ J 2003;33(6):457-64.
• Dake MD, Kato N, Mitchell RS, et al. Endovascular stent–graft placement for the treatment of acute aortic 1999;340(20):1546-52. M.D.N dissection. Engl J Med
• Jang MO, Kim JH, Oh SK, et al. Endovascular stent in traumatic thoracic aortic dissection. Korean Circ J 2012;42(5):341-4.
• Yilmaz O, Arbatli H, Sirin G, et al. Endovascular treatment of traumatic thoracic aortic aneurysms: report of five cases and review of the literature. Ulus Travma Acil Cerrahi Derg 2010;16(6):575-8.
• Tang GL, Tehrani HY, Usman A, et al. Reduced mor- tality, paraplegia, and stroke with stent graft repair of blunt aortic transections: a modern analysis.Tang J Vasc Surg 2008;47(3):671-5. meta
• Lin PH, Huynh TT, Kougias P, Wall MJ Jr, Coselli JS, Mattox KL. Endovascular repair of traumatic thoracic aortic injuries: a critical appraisal. Asian Cardiovasc Thorac Ann 2008;16(4):337-45.
• Karmy-Jones R, Jackson N, Long W, Simeone A. Current management of traumatic rupture of the descending thoracic aorta. Curr Cardiol Rev 2009;5(3):187-95.
• Galili O, Fajer S, Eyal A, Karmeli R. Left subclavian artery occlusion by thoracic aortic stent graft: long- term clinical and duplex follow-up. Isr Med Assoc J 2007;9(9):668-70.