Brüls S, Goffin P, Sakalihasan N, Bonnet P, Defraigne J O
Rev Med Liege. 2015 Sep;70(9):415-22.
Traumatic aortic rupture of the thoracic aorta (usually at the isthmus) is frequently associated with concomitant life-threatening injuries. Historically, the conventional care consisted of surgical repair of the lesion performed as soon as possible. However, in spite of constant technical improvements the morbi-mortality remains high because of these associated lesions. In addition, their management can have priority and delay aortic surgery. The endovascular approach has been shown to be a feasible and efficient technique and currently represents a valuable alternative to open surgery for patients with multiple traumas. We report a patient presenting with a traumatic aortic rupture of the aortic isthmus, which was successfully treated by delayed combined endovascular (thoracic aortic stentgrafting) and open approach (hemiaortic arch debranching).
胸主动脉创伤性破裂（通常发生在峡部）常伴有危及生命的合并伤。从历史上看，传统治疗方法是尽快对病变进行手术修复。然而，尽管技术不断改进，但由于这些合并伤，病残率和死亡率仍然很高。此外，对这些合并伤的处理可能具有优先性，从而延迟主动脉手术。血管内治疗方法已被证明是一种可行且有效的技术，目前对于多发伤患者而言，它是开放手术的一种有价值的替代方案。我们报告了一名患有主动脉峡部创伤性破裂的患者，该患者通过延迟联合血管内治疗（胸主动脉支架植入术）和开放手术（半主动脉弓去分支术）成功治愈。
