A Case of Endovascular Stent-Graft Treatment for Traumatic Thoracic Aortic Dissecting Aneurysm Complicated with Multiple Injuries

A Case of Endovascular Stent-Graft Treatment for Traumatic Thoracic Aortic Dissecting Aneurysm Complicated with Multiple Injuries

Masahiko Ikebuchi Toshihiko Tanabe Hiroyuki Irie*

(Department of Cardiovascular Surgery, San-in Rosai Hospital, Yonago, Japan and Department of Cardiovascular Surgery, Okayama University Medical School*, Okayama, Japan)

We report the use of endovascular stent-graft treatment for a case of traumatic thoracic aortic dissecting aneurysm complicated with multiple injuries. A 65-year-old man who had fallen from a 6 m high roof was admitted to our hospital with severe circulatory failure and deep coma. Examination showed right hemopneumothorax, hematoma around the thoracic descending aorta and abdominal cavity, and bone fractures of all right ribs, skull, right clavicle, pelvis and lumbar vertebra. The patient recovered without major neurological deficit, but a dissecting aortic aneurysm approximately 6.5cm in diameter occurred at the proximal portion of the descending aorta. Since we considered that conventional aortic repair would be difficult with high operative risks based on the complicated thoracic and head injuries, we performed an endovascular stent-graft treatment. The postoperative course was uneventful and the aneurysmal diameter has been decreasing to date.
　Jpn. J. Cardiovasc. Surg. 31：48-51(2002)