Delayed Treatment of Traumatic Rupture of the Thoracic Aorta With Endoluminal Covered Stent

摘要: Background —Stent grafting is emerging as a new treatment for several pathological conditions involving the thoracic aorta. We studied feasibility and safety of this technique delayed ruptures aortic isthmus. Methods Results —Nine patients (14 to 76 years old; mean, 37 years; male/female ratio, 8/1) underwent stent isthmus in subacute (n=5) or chronic (n=4) traumatic rupture after motor accident. In ruptures, was (1 8 months; 5.4 months) because severity other associated injuries. Stent technically successful (defined complete exclusion pseudoaneurysmal sac) all patients. Short-term fever biological inflammatory syndrome occurred 3 Two major complications occurred: 1 patient, an early occlusion left subclavian artery treated by placement 2 Palmaz stents. another atelectasis related increase preexisting compression main bronchus sac successfully temporary endobronchial silicone stent. Mean follow-up 11.6 months (range, 21 months). Thrombosis found patients. Conclusions —In absence available extended about effectiveness endovascular grafting, approach seems be viable therapeutic option isthmus, but appropriately controlled prospective studies are needed before we can recommend its widespread use.