Verscheure Dorian, Gaudric Julien, Jouhannet Clémence, Chiche Laurent, Koskas Fabien
Department of Vascular Surgery, Hôpital Pitié Salpétrière, Paris, France.
Department of Vascular Surgery, Hôpital Pitié Salpétrière, Paris, France.
Ann Vasc Surg. 2017 Feb;39:289.e5-289.e7. doi: 10.1016/j.avsg.2016.06.042. Epub 2016 Nov 24.
Traumatic injury of the left common carotid is a rare but severe disease, and is an uncommon situation in emergency units. Thoracic aortic lesions are often associated with other injuries, making their treatment challenging. We report the case of a successful hybrid approach to treat this lesion using a total supra aortic vessel debranching and a thoracic endovascular graft to cover the rupture, in a 38-year-old polytraumatized patient. After aortic, abdominal, and orthopedic surgery, the patient recovered well. The 1-year follow-up showed a good result of this hybrid treatment. This technique should be considered in polytraumatized patients with aortic arch lesions.
