Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report
Abstract Background Resuscitative thoracotomy is a lifesaving procedure for trauma patients that are hemodynamically unstable. Cross-clamping of the descending thoracic aorta is an essential procedure performed during resuscitative thoracotomy in patients with impending cardiac arrest. Although comp...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-04-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-022-01427-4 |
| _version_ | 1828473590709747712 |
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| author | Atsushi Tanikawa Takeaki Sato Motoo Fujita Chieri Tsuchiya Ken Katsuta Yusuke Suzuki Kiichiro Kumagai Yoshikatsu Saiki Shigeki Kushimoto |
| author_facet | Atsushi Tanikawa Takeaki Sato Motoo Fujita Chieri Tsuchiya Ken Katsuta Yusuke Suzuki Kiichiro Kumagai Yoshikatsu Saiki Shigeki Kushimoto |
| author_sort | Atsushi Tanikawa |
| collection | DOAJ |
| description | Abstract Background Resuscitative thoracotomy is a lifesaving procedure for trauma patients that are hemodynamically unstable. Cross-clamping of the descending thoracic aorta is an essential procedure performed during resuscitative thoracotomy in patients with impending cardiac arrest. Although complications related to resuscitative thoracotomy have been reported, there is no report on avulsion of aortic branches related to cross-clamping of the descending aorta and its appropriate management. Case presentation We present the case of a 42-year-old woman who sustained blunt trauma due to an accidental fall. The patient was hemodynamically unstable and required resuscitative thoracotomy with cross-clamping of the thoracic aorta. However, hemorrhage from avulsion of aortic branches related to aortic cross-clamping was identified. Initially, transcatheter arterial embolization was attempted to achieve hemostasis; however, when that proved ineffective, thoracic endovascular aortic repair was performed, which resulted in successful hemorrhage control without any sequelae. Conclusions Thoracic endovascular aortic repair may be a management option for aortic branch avulsion due to cross-clamping of the descending aorta during resuscitative thoracotomy. |
| first_indexed | 2024-12-11T05:46:37Z |
| format | Article |
| id | doaj.art-4ac741f259c04d0ca972f5d6f1163d40 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-11T05:46:37Z |
| publishDate | 2022-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-4ac741f259c04d0ca972f5d6f1163d402022-12-22T01:18:57ZengSpringerOpenSurgical Case Reports2198-77932022-04-01811410.1186/s40792-022-01427-4Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case reportAtsushi Tanikawa0Takeaki Sato1Motoo Fujita2Chieri Tsuchiya3Ken Katsuta4Yusuke Suzuki5Kiichiro Kumagai6Yoshikatsu Saiki7Shigeki Kushimoto8Department of Emergency and Critical Care Medicine, Tohoku University HospitalDepartment of Emergency and Critical Care Medicine, Tohoku University HospitalDepartment of Emergency and Critical Care Medicine, Tohoku University HospitalDepartment of Emergency and Critical Care Medicine, Tohoku University HospitalDepartment of Emergency and Critical Care Medicine, Tohoku University HospitalDivision of Cardiovascular Surgery, Tohoku University Graduate School of MedicineDivision of Cardiovascular Surgery, Tohoku University Graduate School of MedicineDivision of Cardiovascular Surgery, Tohoku University Graduate School of MedicineDepartment of Emergency and Critical Care Medicine, Tohoku University HospitalAbstract Background Resuscitative thoracotomy is a lifesaving procedure for trauma patients that are hemodynamically unstable. Cross-clamping of the descending thoracic aorta is an essential procedure performed during resuscitative thoracotomy in patients with impending cardiac arrest. Although complications related to resuscitative thoracotomy have been reported, there is no report on avulsion of aortic branches related to cross-clamping of the descending aorta and its appropriate management. Case presentation We present the case of a 42-year-old woman who sustained blunt trauma due to an accidental fall. The patient was hemodynamically unstable and required resuscitative thoracotomy with cross-clamping of the thoracic aorta. However, hemorrhage from avulsion of aortic branches related to aortic cross-clamping was identified. Initially, transcatheter arterial embolization was attempted to achieve hemostasis; however, when that proved ineffective, thoracic endovascular aortic repair was performed, which resulted in successful hemorrhage control without any sequelae. Conclusions Thoracic endovascular aortic repair may be a management option for aortic branch avulsion due to cross-clamping of the descending aorta during resuscitative thoracotomy.https://doi.org/10.1186/s40792-022-01427-4TraumaResuscitationThoracotomyAortaVascular injuryEndovascular procedures |
| spellingShingle | Atsushi Tanikawa Takeaki Sato Motoo Fujita Chieri Tsuchiya Ken Katsuta Yusuke Suzuki Kiichiro Kumagai Yoshikatsu Saiki Shigeki Kushimoto Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report Surgical Case Reports Trauma Resuscitation Thoracotomy Aorta Vascular injury Endovascular procedures |
| title | Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report |
| title_full | Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report |
| title_fullStr | Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report |
| title_full_unstemmed | Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report |
| title_short | Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report |
| title_sort | thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy a case report |
| topic | Trauma Resuscitation Thoracotomy Aorta Vascular injury Endovascular procedures |
| url | https://doi.org/10.1186/s40792-022-01427-4 |
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