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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2007 December;48(6):741-50

VASCULAR SECTION 

    REVIEWS

Thoracic endovascular aortic repair of traumatic injuries involving the descending thoracic aorta

Riesenman P. J., Farber M. A.

Division of Vascular Surgery Department of Surgery University of North Carolina Hospitals Chapel Hill, NC, USA

Acute traumatic thoracic aortic transection is a devastating injury that often occurs in the context of multiple associated traumatic injuries. Patients who survive the initial trauma and present to the hospital experience progressive hospital mortality and remain at risk for rupture of the contained injury. Conventional open surgical repair is regarded as a definitive form of treatment with long-term durability. Unfortunately, the stress subjected upon the multitrauma patient during the operative intervention is believed to contribute to considerable operative morbidity and mortality. Despite advancements in the management and treatment of this condition, hospital and operative mortality remains high. Thoracic endovascular aortic repair (TEVAR) has emerged as a viable alterative to conventional open repair for the treatment of these injuries. This less invasive form of therapy allows for a rapid stabilization of the aortic disruption without subjecting the patient to the physiologic stress of a major operative intervention. This may potentially translate into reductions in associated operative mortality and morbidity for this condition. This review highlights some of the anatomic and technical considerations regarding endovascular repair of traumatic thoracic aortic injuries, and reviews reported outcomes.

language: English


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