Daghfous A, Daiki M, Ben Khélifa El Moncer R, Maarouf M, Felah S, Zoghlami A, Rezgui-Marhoul L
Service d'imagerie médicale, centre de traumatologie et des grands brûlés, Ben-Arous, Tunis, Tunisie.
Service d'imagerie médicale, centre de traumatologie et des grands brûlés, Ben-Arous, Tunis, Tunisie.
Ann Cardiol Angeiol (Paris). 2014 Feb;63(1):51-4. doi: 10.1016/j.ancard.2011.04.014. Epub 2011 Jun 28.
Traumatic thoracic aortic rupture are commonly localised in one site essentially in the aortic isthmus but multiple localisation are not uncommon. The authors reported the case of a young man who had a double localisation of RTA after a violent car accident.
A 23-year-old man had a violent car crush involving sudden deceleration. He had multiple injuries essentially: a traumatic thoracic injury with acute posttraumatic aortic rupture in double localization, in the isthmus and in the descending thoracic aorta. He underwent thoracic endovascular aortic repair (TEVAR) with the use of stent graft three weeks after his car accident. The endovascular treatment was successful and no case of perigraft leakage has been detected during a meaning follow-up of five months.
The systematic analysis of the whole thoracic aortic vessel is crucial to not misdiagnose eventual multiple aortic rupture.
创伤性胸主动脉破裂通常集中于一个部位，主要是主动脉峡部，但多部位破裂也并不罕见。作者报告了一名年轻男子在严重车祸后发生双部位创伤性胸主动脉破裂的病例。
一名23岁男子遭遇严重车祸，车辆突然减速。他多处受伤，主要是创伤性胸部损伤，伴有双部位急性创伤后主动脉破裂，分别位于峡部和胸降主动脉。车祸三周后，他接受了使用支架移植物的胸主动脉腔内修复术（TEVAR）。血管内治疗成功，在为期五个月的有效随访期间未检测到移植物周围渗漏病例。
对整个胸主动脉血管进行系统分析对于不误诊可能存在的多处主动脉破裂至关重要。
