Ajaja Mohamed Rida, Cheikh Amine, Moutaouekkil El Mehdi, Madani Mohcine, Arji Moha, Hassani Amine El, Lakhal Brahim, Slaoui Anas
Department of Cardiovascular Surgery, Cheikh Zaid Hospital, Rabat, Morocco.
Abulcasis University, Faculty of Medicine, Department of Pharmacy, Cheikh Zaid Hospital, Rabat, Morocco.
Pan Afr Med J. 2017 Nov 9;28:217. doi: 10.11604/pamj.2017.28.217.7531. eCollection 2017.
Traumatic rupture of the aortic isthmus is a rare lesion occurring in patients subjected to violent deceleration. Because of the forces involved, it is frequently associated with concomitant life-threatening injuries. The endovascular intervention has been described to be a feasible and efficient technique which may be proposed as a therapeutic option for patients with multiple traumas instead of delayed classical surgical repair after stabilization. We report the case of an adult who has had an accident with a traumatic rupture of the aortic isthmus associated with other lesions, our patient received endovascular treatment. The aortic prosthesis was imported from France and the surgery was done 3 days after the patient's admission. This procedure was performed for the first time in Morocco in our hospital with a multidisciplinary team. The prosthesis was implemented successfully and the result was very satisfactory on the heart level.
主动脉峡部创伤性破裂是一种发生在遭受剧烈减速的患者中的罕见损伤。由于所涉及的力，它常伴有危及生命的合并伤。血管内介入治疗已被描述为一种可行且有效的技术，对于多发伤患者，可作为一种治疗选择，而不是在病情稳定后进行延迟的传统手术修复。我们报告一例成年患者，其因意外导致主动脉峡部创伤性破裂并伴有其他损伤，该患者接受了血管内治疗。主动脉假体从法国进口，手术在患者入院3天后进行。此手术由我们医院的多学科团队在摩洛哥首次实施。假体成功植入，心脏层面的结果非常令人满意。
