| A Case of Endovascular Stent
Graft Repair for Traumatic Thoracic Aortic Aneurysm in a Young
Patient with Multiple Injuries |
(Department of Thoracic Surgery, Anjo Kosei Hospital,
Anjo, Japan, Departments of Thoracic and Cardiovascular Surgery,
Shingu Municipal Medical Center*, Shingu, Japan, Department of
Radiology, Mie University School of Medicine**, Tsu, Japan and
Department of Radiology, Matsuzaka Central Hospital***, Matsuzaka,
Japan)
| Toru Mizumoto* |
Iwao Hioki |
Toshihiko Kinoshita |
| Hideki Fujii |
Noriyuki Kato** |
Tadanori Hirano*** |
|
A 16-year-old boy with multiple
injuries suffered in a motorcycle accident was admitted to our
hospital. On admission, X-ray films showed left hemothorax and
bone fractures of the left humerus, thigh bone, and pelvis. Computed
tomography of the chest revealed a pseudoaortic aneurysm approximately
6.0cm in diameter at the proximal portion of the descending aorta.
Because of multiple severe associated injuries, we considered
that conventional aortic repair in the acute phase would be difficult.
We therefore performed an endovascular stent-graft treatment
140 days after injury. The postoperative course was uneventful
and the pseudoaneurismal sac has confirmed to decrease. Transluminal
placement of endovascular stent-graft is a technically feasible
method for treatment of traumatic aortic aneurysm. However, because
the long-term results are still unknown, we should follow-up
carefully, particularly in young patients.
Jpn. J. Cardiovasc. Surg. 33: 53 -56 (2004) |
|
