Petrucci, OrlandoDe Oliveira, Pedro Paulo MartinsMartins, Antonio Sérgio [UNESP]Vieira, Reinaldo Wilson2014-05-272014-05-272008-06-01Interactive Cardiovascular and Thoracic Surgery, v. 7, n. 3, p. 529-530, 2008.1569-9293http://hdl.handle.net/11449/70425A 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.529-530engAortaGunshot woundsPenetrating woundsPseudoaneurysmadultaorta diseaseartery diseasecase reportcomputer assisted surgeryendoleakendovascular surgeryfalse aneurysmfluoroscopyfollow upgunshot injuryhemodynamicshospital dischargehumanlung arterymalepenetrating traumapostoperative complicationpostoperative periodpriority journalsurgical techniquethoracic aortathoracotomyAdultAneurysm, FalseAortic Aneurysm, ThoracicBlood Vessel Prosthesis ImplantationHumansMaleStentsSurgical Procedures, Minimally InvasiveTomography, X-Ray ComputedTreatment OutcomeWounds, GunshotArtigo10.1510/icvts.2007.172304Acesso restrito2-s2.0-444490987249919910234219937