A Case of Endovascular Aortic Repair of Traumatic Thoracic Aortic Rupture

(Department of Cardiovascular Surgery, Southern Tohoku General Hospital, Koriyama, Japan)

Hirofumi Midorikawa Megumu Kanno Kazunori Ishikawa
Shigehiro Morishima Takashi Ono
A 54-year-old man, involved in a motor vehicle collision, was transferred to our hospital. He was hemodynamically stable. A CT scan of the chest demonstrated traumatic aortic dissection and a mediastinal hematoma with hemothorax of left side. Endovascular aortic repair using a homemade device was immediately performed, and a completion angiogram revealed complete exclusion of the aortic injury, with no extravasation. A postoperative CT scan revealed satisfactory placement of the endograft, with no extravasation. The patient was discharged on the 13th postoperative day. Endovascular aortic repair was useful and minimally invasive therapy in this case for the treatment of traumatic thoracic aortic rupture.
@Jpn. J. Cardiovasc. Surg. 36: 233-236 (2007)