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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2015 December;34(6):506-13

language: English

Chronic traumatic thoracic aortic aneurysms-results of endovascular treatment. Fourteen-year single-center experience

Szostek M. M. 1, Jakuczun W. 1, Alagbari A. 1, Pogorzelski R. 1, Szostek M. 1, Osęka M. 1, Skórski M. 1, Kącka A. 2, Piotrowski M. 2

1 Department of General and Thoracic Surgery, Medical University of Warsaw, Warsaw, Poland;
2 Second Department of Anesthesia and Intensive Care, Medical University of Warsaw, Warsaw, Poland


AIM: Chronic traumatic thoracic aneurysms are results of blunt trauma of the chest during motorcar accident. Treatment of choice is the endovascular procedure with stent-graft.
METHODS: Between 2000-2012 in General and Thoracic Surgery Department 30 patients with post-traumatic aneurysms were operated. In all cases aneurysm was located below left subclavian artery and in 63% developed during road traffic accident.
RESULTS: All patients were operated on with 100% technical success and no device failure was noticed. None of patients died during the endovascular procedure and no serious complications like spinal cord ischemia was observed. In one (3%) case, where left subclavian artery was covered, stroke was diagnosed treated conservatively.
CONCLUSION: At long-term follow-up, one endoleak type IA was found, solved with balloon-plasty. Two patients died due to cardiac diseases.

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