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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2002 Ottobre;43(5):705-9

lingua: Inglese

Stent-graft replacement of chronic traumatic aneurysm of the thoracic aorta after blunt chest trauma

Gawenda M. 1, Landwehr P. 2, Brunkwall J. 1

1 Department of Visceral and Vascular Surgery
2 Department of Radiology Vascular Centre University of Cologne Cologne, Germany


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Chronic traumatic aneurysm of the thoracic aorta is an unusual occurrence. Open-chest surgery for repair of chronic traumatic aneurysms results in mortality rate of 5-18%, and a morbidity rate of 11-50% also. The evolution of endovascular technology offers the promise of a new, less invasive method to achieve aneurysm exclusion. A case of chronic traumatic aneurysm of the near isthmus thoracic aorta discovered on a chest X-ray and evaluated with chest computed tomographic scanning is presented. Stent-grafting procedure is described. Stent-grafting in chronic traumatic aneurysm of the thoracic aorta seems to be a viable minimal invasive therapeutic option for traumatic rupture of the aortic isthmus.

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