Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492007000200013
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular de ruptura traumática da aorta torácica descendente

Endovascular treatment of traumatic descending thoracic aortic rupture

João Roberto Breda; Ana Silvia Ragognetti Breda; Eliane Yumi Fujii; João Antonio Corrêa; Adriano Meneghini; Jaime Ignácio Jaramilo; Dirceu Rodrigues de Almeida; Adilson Casemiro Pires

http://dx.doi.org/10.1590/S1677-54492007000200013 J Vasc Bras, vol.6, n2, p.171-174, 2007
PDF
SciELO
Downloads: 1
Views: 988

Resumo

Paciente do sexo feminino, 55 anos de idade, vítima de atropelamento, foi admitida em unidade de emergência, onde se realizou o diagnóstico clínico, radiológico e tomográfico de ruptura traumática da aorta torácica descendente. Diante do achado, a paciente foi encaminhada para tratamento endovascular com colocação de endoprótese auto-expansível (stent) pela artéria femoral. O tratamento obteve sucesso, evidenciado pela exclusão da lesão localizada previamente no istmo aórtico. O tratamento endovascular tem sido indicado nas afecções de aorta torácica descendente com bons resultados iniciais. Na ruptura traumática de aorta, a terapêutica endovascular representa uma alternativa aceitável, especialmente devido aos riscos do tratamento operatório convencional.

Palavras-chave

Aorta lesões, aorta cirurgia, radiografia intervencionista, instrumentação

Abstract

A 55-year-old, female patient who was run over by a motor vehicle was admitted at an emergency room. Clinical, radiological and tomographic diagnosis of traumatic descending aortic thoracic rupture was performed. The patient was referred for endovascular treatment with placement of a self-expandable stent through the femoral artery. Treatment was successful, with exclusion of the lesion previously located in the aortic isthmus. Endovascular treatment has been indicated in the treatment of descending thoracic aortic diseases, with good initial results. In case of traumatic aortic rupture, endovascular treatment is a feasible alternative, especially due to risks offered by the conventional surgical treatment.

Keywords

Aortic injuries, aortic surgery, interventional radiography, instrumentation

References

Dake MD, Miller DC, Semba CP, Mitchell RS, Walker PJ, Liddell RP. Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med. 1994;331:1729-34.

Buffolo E, Palma H. Surgical treatment of type B dissecting aneurysms: what is new?. Arch Chir Thorac Cardiovasc. 1997;19:171-2.

Breda JR, Almeida DR, Ramos Filho RA, Silas MG, Pires AC. Experience with utilization of auto-expandable stents introduced through the femoral artery for treatment of thoracic aortic diseases. Rev Bras Cir Cardiovasc. 2003;18:129-32.

Shimono T, Kato N, Tokui T. Endovascular stent-graft repair for acute type A aortic dissection with an intimal tear in the descending aorta. J Thorac Cardiovasc Surg. 1998;116:171-3.

Williams JS, Graff JA, Uku JM, Steinig JP. Aortic injury in vehicular trauma. Ann Thorac Surg. 1994;57:726-30.

Rousseau H, Dambrin C, Marcheix B. Acute traumatic aortic rupture: a comparison of surgical and stent-graft repair. J Thorac Cardiovasc Surg. 2005;129:1050-5.

Agostinelli A, Saccani S, Borrello B, Nicolini F, Larini P, Gherli T. Immediate endovascular treatment of blunt aortic injury: our therapeutic strategy. J Thorac Cardiovasc Surg. 2006;131:1053-7.

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
5ddfdb620e8825ca2c4ce1d5 jvb Articles
Links & Downloads
1677-7301 (Electronic)
J Vasc Bras ©2024 All rights reserved.

J Vasc Bras

Share this page
Page Sections