Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report

Penetrating aortic injuries are infrequent. Its incidence is unknown because most patients die of hemorrhage even before they receive adequate treatment. Aortic wounds generally require conventional thoracotomy/laparotomy repair and are related to high mortality rates. Recently with the advent of en...

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Main Authors: Juan Gabriel Bayona, Carlos Eduardo Rey Chaves, Oscar Geovanny Hernández Rodríguez, Vladimir Barón, Ernesto Fajardo, Eduardo Posada
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1264558/full
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author Juan Gabriel Bayona
Carlos Eduardo Rey Chaves
Oscar Geovanny Hernández Rodríguez
Vladimir Barón
Ernesto Fajardo
Eduardo Posada
author_facet Juan Gabriel Bayona
Carlos Eduardo Rey Chaves
Oscar Geovanny Hernández Rodríguez
Vladimir Barón
Ernesto Fajardo
Eduardo Posada
author_sort Juan Gabriel Bayona
collection DOAJ
description Penetrating aortic injuries are infrequent. Its incidence is unknown because most patients die of hemorrhage even before they receive adequate treatment. Aortic wounds generally require conventional thoracotomy/laparotomy repair and are related to high mortality rates. Recently with the advent of endovascular techniques, most authors prefer endovascular management when feasible due to better (still poor) outcomes. The short- and mid-term results of immediate endovascular repair of traumatic aortic injuries are promising, especially when compared with open surgical treatment, indicating that endovascular therapy is preferable in patients with multi-trauma and traumatic ruptures of the thoracic aorta. Here we present the diagnosis and treatment of a 30 years-old male patient with multiple traumatic stab wounds, including anterior aortic laceration with a grade II aortic lesion successfully managed with an endovascular stent graft.
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spelling doaj.art-ce9da4dab9414b7a9f68ac9982d06f292023-10-11T05:56:20ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-10-011010.3389/fsurg.2023.12645581264558Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case reportJuan Gabriel Bayona0Carlos Eduardo Rey Chaves1Oscar Geovanny Hernández Rodríguez2Vladimir Barón3Ernesto Fajardo4Eduardo Posada5Cirujano General, Pontificia Universidad Javeriana, Bogotá, ColombiaEstudiante de Posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, ColombiaCirugía Vascular Periférica, Pontificia Universidad Javeriana, Facultad de Medicina, Hospital Universitario San Ignacio, Bogotá, ColombiaCirugía Vascular Periférica, Pontificia Universidad Javeriana, Facultad de Medicina, Hospital Universitario San Ignacio, Bogotá, ColombiaCirugía Vascular Periférica, Pontificia Universidad Javeriana, Facultad de Medicina, Hospital Universitario San Ignacio, Bogotá, ColombiaEstudiante de Posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, ColombiaPenetrating aortic injuries are infrequent. Its incidence is unknown because most patients die of hemorrhage even before they receive adequate treatment. Aortic wounds generally require conventional thoracotomy/laparotomy repair and are related to high mortality rates. Recently with the advent of endovascular techniques, most authors prefer endovascular management when feasible due to better (still poor) outcomes. The short- and mid-term results of immediate endovascular repair of traumatic aortic injuries are promising, especially when compared with open surgical treatment, indicating that endovascular therapy is preferable in patients with multi-trauma and traumatic ruptures of the thoracic aorta. Here we present the diagnosis and treatment of a 30 years-old male patient with multiple traumatic stab wounds, including anterior aortic laceration with a grade II aortic lesion successfully managed with an endovascular stent graft.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1264558/fullaortic pseudoaneurysmpenetrating traumaendovascular repairvascular injuryoutcomes
spellingShingle Juan Gabriel Bayona
Carlos Eduardo Rey Chaves
Oscar Geovanny Hernández Rodríguez
Vladimir Barón
Ernesto Fajardo
Eduardo Posada
Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report
Frontiers in Surgery
aortic pseudoaneurysm
penetrating trauma
endovascular repair
vascular injury
outcomes
title Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report
title_full Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report
title_fullStr Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report
title_full_unstemmed Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report
title_short Case report: Endovascular stent-graft repair of aortic penetrating trauma, literature review, and case report
title_sort case report endovascular stent graft repair of aortic penetrating trauma literature review and case report
topic aortic pseudoaneurysm
penetrating trauma
endovascular repair
vascular injury
outcomes
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1264558/full
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