Emergency endovascular stent grafting of a traumatic thoracic aortic dissection

• Published in: International journal of clinical practice (Esher) Vol. 58; no. 12; pp. 1165 - 1167
• Main Authors: Stamenkovic, S.A., Taylor, P.R., Reidy, J., Roxburgh, J.C.
• Format: Journal Article
• Language: English
• Published: Oxford, UK; Malden, USA Blackwell Science Ltd 01.12.2004; Blackwell; Hindawi Limited
• Subjects: Aneurysm, Dissecting - therapy; Aortic Aneurysm, Thoracic - therapy; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Case studies; Coronary vessels; Diseases of the aorta; dissection; Emergency Service, Hospital; General aspects; Humans; Injuries; Male; Medical sciences; Middle Aged; Mortality; Multiple Trauma - complications; Stent graft; Stents; Surgery; Tomography, X-Ray Computed - methods; Treatment Outcome; Arterial disease; Vascular disease; Medicine; Instrumentation therapy; Cardiovascular disease; Aortic dissection; Graft; Thorax; Emergency; Stent; Trauma; Aortic disease
• ISSN: 1368-5031; 1742-1241
• DOI: 10.1111/j.1742-1241.2004.00066.x

Summary An endovascular stent graft was successfully used in the management of a patient with multiple injuries, who sustained an acute type B dissection of the thoracic aorta. We discuss the multidisciplinary approach taken, the contra‐indications of conventional surgery, and the radiological imaging employed. We conclude that stent grafts can be safely deployed without morbidity or mortality in a multiply injured patient.