Endovascular repair in atypical traumatic rupture of thoracic aorta
Benedetto, F.; La Spada, M.; Stilo, F.; De Caridi, G.; Cotroneo, A.; Passari, G.; Spinelli, F.
Il Giornale di Chirurgia 29(10): 429-431
2008
ISSN/ISBN: 0391-9005 PMID: 18947467 Document Number: 616131
The traumatic rupture of thoracic aorta is a surgical emergency with high risk of morbidity and mortality. We describe the case of an atypical rupture of retro-cardiac thoracic aorta with dissection of brachiocephalic trunk and spleen trauma occurred after a road accident. TC scan and perioperative angiography showed an atypical rupture of thoracic aorta. A combined treatment, endovascular for retro-cardiac thoracic aorta and surgical for brachiocephalic artery, has been useful to diminish the hemodynamic and organ ischemic problems associated with open surgery.