Endovascular treatment of pseudoaneurysm of the thoracic aorta from a firearm injury
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Data
2008-06-01
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Coorientador
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Resumo
A 24-year-old male patient was the victim of a firearm wound that penetrated the thorax. He arrived at another hospital hemodynamically unstable and was submitted to exploratory surgery by means of bithoracotomy. A lesion of the left branch of the pulmonary artery was detected and successfully repaired. He was submitted for computer-aided tomography on the fifth postoperative day, and a lesion of the mid-thoracic aorta was detected, which formed a saccular image. Considering that the patient had already been submitted to a bithoracotomy and that a direct approach to repair would involve another thoracotomy within a short period of time, endovascular treatment was chosen in our hospital. The procedure was performed under fluoroscopy. A second computer-aided tomography indicated adequate treatment of the lesion, with no indication of an endoleak. He has undergone ambulatory follow-up for 36 months without any problem related to the procedure. While endovascular treatment of the aorta has developed enormously, multicenter studies are needed to better define the long-term results of this approach. © 2008 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
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Aorta, Gunshot wounds, Penetrating wounds, Pseudoaneurysm, adult, aorta disease, artery disease, case report, computer assisted surgery, endoleak, endovascular surgery, false aneurysm, fluoroscopy, follow up, gunshot injury, hemodynamics, hospital discharge, human, lung artery, male, penetrating trauma, postoperative complication, postoperative period, priority journal, surgical technique, thoracic aorta, thoracotomy, Adult, Aneurysm, False, Aortic Aneurysm, Thoracic, Blood Vessel Prosthesis Implantation, Humans, Male, Stents, Surgical Procedures, Minimally Invasive, Tomography, X-Ray Computed, Treatment Outcome, Wounds, Gunshot
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Inglês
Como citar
Interactive Cardiovascular and Thoracic Surgery, v. 7, n. 3, p. 529-530, 2008.
