H. Rousseau, MD, PhD, C. Dambrin, MD, PhD, B. Marcheix, MD, L

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Presentation transcript:

Acute traumatic aortic rupture: A comparison of surgical and stent-graft repair H. Rousseau, MD, PhD, C. Dambrin, MD, PhD, B. Marcheix, MD, L. Richeux, MD, M. Mazerolles, MD, C. Cron, MD, A. Watkinson, MD, A. Mugniot, MD, P. Soula, MD, V. Chabbert, MD, G. Canevet, MD, D. Roux, MD, P. Massabuau, MD, G. Meites, MD, T. Tran Van, MD, P. Otal, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 129, Issue 5, Pages 1050-1055 (May 2005) DOI: 10.1016/j.jtcvs.2004.12.023 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A and B, Spiral CT shows a typical aortic isthmus injury before stent graft. C, Angiographic control immediately after the intervention shows the proximal extremity of the device soon after the left carotid artery ostium, with a complete exclusion of the pseudoaneurysm. There is a slight indentation of the Dacron at the site of the neck. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 1050-1055DOI: (10.1016/j.jtcvs.2004.12.023) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, B, and C, Spiral CT with 3-dimensional shaded display reconstructions, 48 months after treatment, showing complete regression of the pseudoaneurysm and the initial noncovered portion of the stent graft over the left subclavian artery ostium, which stays patent. Arrow, Left subclavian artery ostium. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 1050-1055DOI: (10.1016/j.jtcvs.2004.12.023) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Thoracic spiral CT, 5 months after trauma, showing a well-delineated and partially thrombosed pseudoaneurysm of the proximal descending aorta measuring 4 × 5 cm. The true aortic lumen, left main stem bronchus, and right pulmonary artery are compressed by the pseudoaneurysm. B, Thoracic spiral CT, 84 months after treatment, showing complete regression of the pseudoaneurysm and good apposition of the stent graft to the aortic wall and open left bronchus. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 1050-1055DOI: (10.1016/j.jtcvs.2004.12.023) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions