Hu Zhi-Wei, Gao Wang-Zhong, Gu Yong-Quan, Chen Bing, Zhu Guang-Chang, Liang Wei-Tao, Ning Ya-Chan
Vascular Surgery, Xuanwu Hospital, Capital Medical University, No. 45 Changchun Street, Xicheng District, Beijing 100053, China.
Case Rep Vasc Med. 2012;2012:608358. doi: 10.1155/2012/608358. Epub 2012 Dec 24.
Aortic deceleration injury is a common and critical condition following automobile accident with high fatality. The survivors complicated with associated serious injuries are even rare and definitive treatment is required. A 37-year-old male patient had both aortic blunt injury and coronary artery injury after a frontal car collision. After failed coronary artery percutaneous transluminal angioplasty (PTA) and deteriorated aortic lesion, the ruptured aorta was subsequently successfully treated by us with a self-made individualized endograft. The endograft was well in position and the patient functioned well in 11-year followup. With the development of endograft and technique, the endovascular treatment may be an option for patients with complicated aortic blunt injury. Yet careful patient selection and the long-term followup are essential.
主动脉减速伤是汽车事故后常见且严重的情况，死亡率很高。伴有其他严重损伤的幸存者极为罕见，需要进行确定性治疗。一名37岁男性患者在正面汽车碰撞后同时发生主动脉钝性损伤和冠状动脉损伤。冠状动脉经皮腔内血管成形术（PTA）失败且主动脉病变恶化后，我们随后用自制的个体化血管内支架成功治疗了破裂的主动脉。血管内支架位置良好，患者在11年的随访中功能良好。随着血管内支架和技术的发展，血管内治疗可能是复杂主动脉钝性损伤患者的一种选择。然而，仔细的患者选择和长期随访至关重要。
