DOI QR코드

DOI QR Code

Endovascular Stent in Traumatic Thoracic Aortic Dissection

  • Jang, Mi-Ok (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Kim, Ju-Han (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Oh, Sang-Ki (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Lee, Min-Goo (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Park, Keun-Ho (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Sim, Doo-Sun (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Hong, Young-Joon (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Ahn, Young-Keun (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Jeong, Myung-Ho (The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School)
  • 발행 : 2012.05.31

초록

Traumatic thoracic aortic injury is typically fatal. However, recent improvements in pre-hospital care and diagnostic modalities have resulted in an increased number of patients with traumatic aortic injury arriving alive at the hospital. Also, the morbidity and mortality associated with endovascular repair are significantly lower than with conventional open surgery in traumatic thoracic aorta injury. We experienced two cases of successful management of traumatic thoracic aortic dissection with endovascular stents caused by traffic accidents.

키워드

참고문헌

  1. Finkelmeier BA, Mentzer RM Jr, Kaiser DL, Tegtmeyer CJ, Nolan SP. Chronic traumatic thoracic aneurysm: influence of operative treatment on natural history: an analysis of reported cases, 1950-1980. J Thorac Cardiovasc Surg 1982;84:257-66.
  2. Shim WH, Choi D, Yoon YS, LEE DY, Jang BC. Bifurcated stent-graft (Vanguard) for the endovascular treatment of abdominal aortic aneurysm. Korean Circ J 1999;29:907-12. https://doi.org/10.4070/kcj.1999.29.9.907
  3. Kang WC, Joung BY, Ko YG, et al. Favorable outcome of endovascular stent-graft implantation for Stanford type B aortic dissection. Korean Circ J 2003;33:457-64.
  4. Karmy-Jones R, Jackson N, Long W, Simeone A. Current management of traumatic rupture of the descending thoracic aorta. Curr Cardiol Rev 2009;5:187-95. https://doi.org/10.2174/157340309788970324
  5. Cohen AM, Crass JR, Thomas HA, Fisher RG, Jacobs DG. CT evidence for the "osseous pinch" mechanism of traumatic aortic injury. AJR Am J Roentgenol 1992;159:271-4. https://doi.org/10.2214/ajr.159.2.1632338
  6. Yilmaz O, Arbatli H, Sirin G, et al. Endovascular treatment of traumatic thoracic aortic aneurysms: report of five cases and review of the literature. Ulus Travma Acil Cerrahi Derg 2010;16:575-8.
  7. Tang GL, Tehrani HY, Usman A, et al. Reduced mortality, paraplegia, and stroke with stent graft repair of blunt aortic transections: a modern meta-analysis. J Vasc Surg 2008;47:671-5. https://doi.org/10.1016/j.jvs.2007.08.031
  8. Kasirajan K, Heffernan D, Langsfeld M. Acute thoracic aortic trauma: a comparison of endoluminal stent grafts with open repair and nonoperative management. Ann Vasc Surg 2003;17:589-95. https://doi.org/10.1007/s10016-003-0066-2
  9. Wellons ED, Milner R, Solis M, Levitt A, Rosenthal D. Stent-graft repair of traumatic thoracic aortic disruptions. J Vasc Surg 2004;40:1095-100. https://doi.org/10.1016/j.jvs.2004.09.003
  10. Ferrari E, Tozzi P, von Segesser L. Thoracic aorta emergencies: is the endovascular treatment the new gold standard? Interact Cardiovasc Thorac Surg 2006;5:730-4. https://doi.org/10.1510/icvts.2006.136325

피인용 문헌

  1. Blunt Aortic Injury: Changing the First Treatment Modality vol.83, pp.2, 2012, https://doi.org/10.3904/kjm.2012.83.2.200
  2. Thoracic endovascular repair in management of traumatic aortic dissection. A 10 years experience vol.25, pp.2, 2012, https://doi.org/10.1016/j.jescts.2017.04.006