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Thoracic endovascular aortic repair for traumatic aortic transection

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1 Thoracic endovascular aortic repair for traumatic aortic transection
Michael R. Go, MD, Joel E. Barbato, MD, Ellen D. Dillavou, MD, Navyash Gupta, MD, Robert Y. Rhee, MD, Michel S. Makaroun, MD, Jae-Sung Cho, MD  Journal of Vascular Surgery  Volume 46, Issue 5, Pages (November 2007) DOI: /j.jvs Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

2 A, A 50-year-old man was found to have a thoracic aortic transection after a skydiving accident (arrow). B, He underwent a successful thoracic endovascular aneurysm repair with a 26-mm × 10-cm TAG endoprosthesis (W. L Gore and Assoc, Flagstaff, Ariz). C, A computed tomography scan at 3 months showed a small but appreciable “bird’s beak” without endoleak or graft collapse. The superimposed “wedge” symbol outlines the “bird’s beak.” D, The patient, however, presented at 5 months with a recurrent pseudoaneurysm due to endograft collapse (arrow). E, He was treated with repeat endografting with good initial result, but ultimately required graft excision and open reconstruction for aortoesophageal fistula. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions


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