Endovascular Treatment of Traumatic Thoracoabdominal Aortic Dissection With Simultaneous Tevar and Evar: Case Report

Yıl 2020, Cilt: 4 Sayı: 3, 192 - 195, 31.12.2020

Yüksel Dereli , Özgür Altınbaş , Ömer Tanyeli , Volkan Burak Taban , Niyazi Görmüş

Öz

Travmatik Torakoabdominal Aort Diseksiyonunun Eş Zamanlı Tevar ve Evar İle Endovasküler Tedavisi: Olgu Sunumu

Öz

ÖZET
Künt travmaya bağlı aort yaralanmaları %50-%60 mortalite ile seyreden acil klinik durumlardır. Bu yaralanmalardan aortadaki akselerasyon ve deselerasyon mekanizmaları sorumlu olup bu hastalarda endovasküler tedavi, açık cerrahiye bir alternatiftir. Bu çalışmamızda künt travma sonrası tip 3 aort diseksiyonu gelişen bir olgunun endovasküler yöntem ile başarılı bir şekilde tedavi edilebileceğini sunmayı amaçladık.


ABSTRACT
Aortic injuries due to blunt trauma are emergency clinical conditions with 50% -60% mortality. Aortic acceleration and deceleration mechanisms are responsible for these injuries, and endovascular treatment is an alternative to open surgery. In this study, we aimed to prove that a case with type 3 aortic dissection after blunt trauma can be successfully treated with endovascular method.

Anahtar Kelimeler

AORT YARALANMASI, KÜNT TRAVMA, ENDOVASKÜLER TEDAVİ, EVAR, TEVAR

Kaynakça

• 1) Sarıkaya R, Avcı S, Kavak N, Genç S, Büyükcam F, Özkan S. Künt Travmaya Bağlı Aorta Diseksiyonu Olgusu. Çağdaş Tıp Dergisi 2014; 4: 38-40
• 2) Amabile P, Collart F, Gariboldi V, Rollet G, Bartoli JM, Piquet P. Surgical versus endovascular treatment of traumatic thoracic aortic rupture. J Vasc Surg 2004; 40: 873-879
• 3) Chernaya NR, Muslimov RSh, Selina IE, Kokov LS, Vladimirova ES, Navruzbekov MS, Gulyaev VA. Endovascular and surgical treatment of a patient with traumatic rupture of the aorta and hepatic artery. Angiol Sosud Khir 2016; 22(1): 176-181
• 4) Doss M, Balzer J, Martens S, Wood JP, Wimmer G, Fieguth HG, et al. Surgical versus endovascular treatment of acute thoracic aortic rupture: a single-center experience. Ann Thorac Surg 2003; 76: 1465-1469
• 5) Demirtaş D, Tiryakioğlu O, Çalışkan A, Güçlü O, Yümün G, Yavuz C, ve ark. Endovasküler aortik onarımda tek merkez deneyimi: Teknik ve klinik yönlerin incelenmesi. Dicle Med J 2014; 41(3): 564-573
• 6) Akhmerov A, DuBose J, Azizadeh A. Blunt Thoracic Aortic Injury: Current Therapies, Outcomes, and Challenges. Ann Vasc Dis 2019; 12(1): 1-5
• 7) Bero EH, Nguyen CT, Patel PJ, Foley WD, Lee CJ. Aortic Remodeling and Clinical Outcomes Following ThoracicEndovascular Aortic Repair for Blunt Thoracic Aortic Injury. J Surg Res 2020; 255: 124-129
• 8) Cline M, Cooper KJ, Khaja MS, Gandhi R, Bryce YC, Williams DM. Endovascular Management of Acute Traumatic Aortic Injury. Techniques in Vascular and Interventional Radiology 2018; 21(3): 131-136
• 9) Tang GL, Tehrani HY, Usman A, Katariya K, Otero C, Perez E, Eskandari MK. Reduced mortality, paraplegia, and stroke with stent graft repair of blunt aortic transections: a modern meta-analysis. J Vasc Surg 2008; 47(3): 671-675
• 10) Herdrich BJ, Woo EY. Simultaneous EVAR and TEVAR. Current vascular surgery 2012; 32; 379-384