Endovascular therapy of acute traumatic aortic transection / 中国医学科学院学报

ABSTRACT

<p><b>OBJECTIVE</b>To explore the feasibility of endovascular stent-graft prostheses in treating acute transaction of thoracic aorta. (TAT) METHODS: A patient with injury from a car accident was diagnosed by computed tomography angiography (CTA) , and then treated by endovascular therapy immediately.</p><p><b>RESULTS</b>After treatment, symptoms such as chest pain and shortness of breath were improved, hemoglobin became normal, and no complication was found. CTA revealed that stent-graft was located in a satisfactory position, and subclavian artery was clearly demonstrated 6 months later.</p><p><b>CONCLUSIONS</b>Potential TAT should be examined in patients with trauma in the chest. Active treatment should be performed in patients with severe symptoms or CTA-confirmed endoartial injury of aorta, for whom endovascular therapy may be the first choice.</p>