Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 0 , Vol 0 , Issue 0
Emergency Thoracic Endovascular Aortic Repair for Traumatic Thoracic Aortic Rupture Could Be Life-Saving
Abdullah ÖZER1, Yiğit KILIÇ1, Barış MARDİN1, Koray AKKAN2, Mustafa Hakan ZOR1
1Department of Cardiovascular Surgery, Gazi University Faculty of Medicine, Ankara
2Department of Radiology, Gazi University Faculty of Medicine, Ankara
DOI : 10.9739/uvcd.2016-51257 The thoracic aortic rupture seen in multiple trauma patients is often associated with a sudden deceleration after blunt aortic injury. It has been documented that the patients with blunt aortic injuries have high risks for paraplegia, stroke, and heart, kidney and respiratory failure. The mortality rate reaches to 85-90% if those complications are left untreated.3 Thoracic Endovascular Aortic Repair (TEVAR) enables a rapid control of a bleeding, and ensures rapid blood flow to the internal organs.4,5 In our case, a contrast enhanced computed tomography was obtained in a 42- year-old woman who had a car accident. A distal rupture of left subclavian artery was seen, the intima and media of the artery were entirely separated, and the integrity of the vessel was maintained by only the adventitial layer. Afterwards, the patient underwent a TEVAR under emergency conditions, and was brought to the intensive care unit where she was extubated post-operatively. The patient also had additional complications associated with multiple trauma, and was discharged from intensive care unit after 12 days. In this case report, we aimed to emphasize the life-saving potential of interventional procedures like TEVAR/EVAR for traumatic aortic rupture in centers where open surgery is also possible. Keywords : Aortic rupture; thoracic aorta; endovascular procedures; emergencies, trauma