Hosn Maen Aboul, Nicholson Rachael, Turek Joseph, Sharp William J, Pascarella Luigi
Division of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.
Division of Vascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.
Ann Vasc Surg. 2017 Feb;39:292.e1-292.e4. doi: 10.1016/j.avsg.2016.11.001. Epub 2016 Nov 28.
Traumatic aortic injuries in children and adolescents are rare. Although endovascular repair has become the preferred approach for such injuries in adults, open repair has endured as the gold standard in children owing mainly to the smaller aortic and access vessel diameter and the scarcity of long-term follow-up data. We report a successful endovascular repair of a traumatic thoracic aortic injury in an 8-year-old girl using a Zenith Alpha thoracic endograft (Cook Medical, Bloomington, IN). We also review the literature on endovascular treatment of traumatic aortic injuries in the pediatric population.
儿童和青少年的创伤性主动脉损伤较为罕见。尽管血管内修复已成为成人此类损伤的首选治疗方法,但由于儿童主动脉和入路血管直径较小以及长期随访数据匮乏,开放修复仍是儿童的金标准。我们报告了一例使用Zenith Alpha胸主动脉覆膜支架(库克医疗公司,印第安纳州布卢明顿)成功对一名8岁女孩进行创伤性胸主动脉损伤血管内修复的病例。我们还回顾了有关儿科人群创伤性主动脉损伤血管内治疗的文献。