Acute Traumatic Aortic Rupture: Stent-Graft Repair

Rousseau, Hervé; Bolduc, Jean Phillipe; Dambrin, Camille; Marcheix, Bertrand; Canevet, G.; Léobon, Bertrand; Cron, C.; Otal, Philippe; Bartoli, Jean-Michel; Fournial, G

doi:10.1007/3-540-38309-3_33

Cited by 2 publications

(2 citation statements)

References 43 publications

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“…For example, the concept that "minimal aortic injury" can be safely treated without intervention has been promulgated. 9,10 Additionally, the value of delayed intervention (open or endovascular) with pharmacologic antiimpulse control is increasingly recognized. [11][12][13][14][15][16][17][18][19][20][21] An updated aortic injury severity scale with an emphasis on anatomic and therapeutic correlates could help to place the options in perspective.…”

Section: Discussionmentioning

confidence: 99%

“…Subsequently, multiple reports and series have shown endovascular stent grafting to be feasible, safe, and effective in the short term. 10,19,[34][35][36][37][38] Endovascular repair can be done without systemic anticoagulation, although the manufacturer of the only device currently approved by the FDA for thoracic aortic use recommends it. Endovascular repair also eliminates the need for single lung ventilation as well as problems with positioning patients for thoracotomy.…”

Section: Discussionmentioning

confidence: 99%

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Management Options in Blunt Aortic Injury: A Case Series and Literature Review

Simeone

Freitas

Frankel

2006

The American Surgeon™

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Blunt aortic injury (BAI) is a devastating consequence of high-energy trauma. The majority of its victims do not survive; those who do generally have significant associated injury. The standard treatment of BAI has been emergent replacement or repair of the damaged aorta via a posterolateral thoracotomy, with or without perfusion adjuncts. In addition to the substantial morbidity and mortality secondary to multisystem traumatic injuries, patients surviving to reach the operating room have been exposed to the risks related to their surgical treatment, namely death, paraplegia, hemorrhage, transfusion, organ dysfunction, prolonged intensive care unit stays, and extensive rehabilitation requirements. Contributions to the literature over the past several years have provided support for changing practice patterns in the management of BAI. Aggressive control of blood pressure has made it safe to delay high-risk interventions in patients with complex injuries. Advanced perfusion strategies using little or no anticoagulation appear to have positively affected bleeding complications and neurologic risk. Finally, endovascular stent grafting, though not yet rigorously evaluated in BAI, has been shown to be feasible and effective in the short term. This case presentation and literature review will examine treatment options and propose a management algorithm.

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