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  • Title: Immediate endovascular repair for descending thoracic aortic transection secondary to blunt trauma.
    Author: Lobato AC, Quick RC, Phillips B, Vranic M, Rodriguez-Lopez J, Douglas M, Diethrich EB.
    Journal: J Endovasc Ther; 2000 Feb; 7(1):16-20. PubMed ID: 10772744.
    Abstract:
    PURPOSE: To report the immediate endovascular treatment of a thoracic aortic tear secondary to blunt trauma. METHODS AND RESULTS: A 39-year-old man was injured in a motor vehicle collision. In addition to significant trauma to the head, chest, and abdomen, there were signs of a deceleration injury to the thoracic aorta. After urgent celiotomy to repair a lacerated spleen, the thoracic aortic transection was treated intraluminally using an endograft made of Gianturco Z-stents covered with polytetrafluoroethylene. The patient recovered from his injuries, and the thoracic endograft shows no evidence of endoleak 7 months after treatment. CONCLUSIONS: Endoluminal techniques can be used successfully in the immediate repair of thoracic aortic injuries.
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