Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, P.R. China.
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, P.R. China.
J Vasc Surg. 2019 Nov;70(5):1669-1672. doi: 10.1016/j.jvs.2018.12.046. Epub 2019 Sep 11.
Blunt traumatic aortic injury (BTAI) is a rare but life-threatening emergency that is usually caused by sudden acceleration/deceleration injuries in vehicular accidents. We describe our initial experience of a retrograde two-stage hybrid treatment approach for the emergent management of a 63-year-old motorcyclist who presented with a complicated BTAI with malperfusion syndrome. To our best knowledge, this uncommon BTAI case with fatal distal malperfusion saved by an urgent retrograde two-stage hybrid procedure has been reported rarely. This early reperfusion strategy with two-stage retrograde endovascular technique could be an effective and life-saving treatment option for polytrauma patients with suitable aortic anatomy.
钝性创伤性主动脉损伤（BTAI）是一种罕见但危及生命的急症，通常由车辆事故中的突然加速/减速损伤引起。我们描述了我们对一位 63 岁摩托车骑手进行的逆行两阶段杂交治疗方法的初步经验，该骑手患有复杂的 BTAI 合并灌注不良综合征。据我们所知，这种由紧急逆行两阶段杂交手术挽救的罕见伴致命性远端灌注不良的 BTAI 病例报道很少。对于具有合适主动脉解剖结构的多发伤患者，这种采用两阶段逆行腔内技术的早期再灌注策略可能是一种有效且救生的治疗选择。
