Urgent retrograde two-stage hybrid repair of a complicated blunt traumatic aortic injury

• Published in: Journal of vascular surgery Vol. 70; no. 5; pp. 1669 - 1672
• Main Authors: Zhang, Hong-wei, MD, Huang, Yao, MD, Yang, Peng, MD, Li, Kai-di, MD, Hu, Jia, MD, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2019
• Subjects: Accidents, Traffic; Aorta - injuries; Blunt traumatic aortic injury; Endovascular Procedures - methods; Humans; Male; Malperfusion syndrome; Middle Aged; Multiple Trauma - etiology; Multiple Trauma - surgery; Multiple traumas; Retrograde two-stage hybrid repair; Surgery; Treatment Outcome; Vascular System Injuries - surgery; Wounds, Nonpenetrating - complications; Wounds, Nonpenetrating - surgery; Retrograde two-stage hybrid repair; Multiple traumas; Blunt traumatic aortic injury; Malperfusion syndrome
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2018.12.046

AbstractBlunt traumatic aortic injury (BTAI) is a rare but life-threatening emergency that is usually caused by sudden acceleration/deceleration injuries in vehicular accidents. We describe our initial experience of a retrograde two-stage hybrid treatment approach for the emergent management of a 63-year-old motorcyclist who presented with a complicated BTAI with malperfusion syndrome. To our best knowledge, this uncommon BTAI case with fatal distal malperfusion saved by an urgent retrograde two-stage hybrid procedure has been reported rarely. This early reperfusion strategy with two-stage retrograde endovascular technique could be an effective and life-saving treatment option for polytrauma patients with suitable aortic anatomy.