Delayed endovascular repair of a traumatic aortic dissection

Berk Özkaynak,

doi:10.5606/tgkdc.dergisi.2013.5457

Berk Özkaynak¹, Adil Polat¹, Bora Farsak¹, Nihan Kayalar¹, Funda Gümüş², Gülçin Hepgül³, Vedat Erentuğ¹

¹Department of Cardiovascular Surgery, Bağcılar Training and Research Hospital, İstanbul, Turkey
²Department of Anaesthesiology and Reanimation, Bağcılar Training and Research Hospital, İstanbul, Turkey
³Department of General Surgery, Bağcılar Training and Research Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2013.5457

A 41-year-old male patient was admitted to our clinic after a high impact motor vehicle accident. Radiological evaluation revealed grade 2 splenic laceration, multiple fractures and type B aortic dissection with periaortic hematoma. Thoracic endovascular aortic repair was performed to distal subclavian artery with local anesthesia. Endovascular repair of thoracic aortic lesions can be accomplished with low perioperative mortality and morbidity rates. In case of multiple life threatening injuries, the patient should be stabilized hemodynamically for repair of aorta.

Keywords : Aortic dissection; thoracic endovascular repair; trauma

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