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穿透性胸主动脉损伤的血管内治疗——病例报告

Endovascular treatment of penetrating thoracic aorta injury - case report.

作者信息

Sarquis Lucas Mansano, Michaelis Wilson, Santos Antonio Lacerda, Yokoyama Rogerio Akira, Delazeri Mariana Vieira, Martins Antonio Luiz da Costa, Martins Rodrigo Krieger, Gazola Bruno Berardi

机构信息

Hospital do Trabalhador, Curitiba, PR, Brasil.

Hospital Universitário Evangélico Mackenzie, Curitiba, PR, Brasil.

出版信息

J Vasc Bras. 2020 Nov 16;19:e20200132. doi: 10.1590/1677-5449.200132.

DOI:10.1590/1677-5449.200132
PMID:34211531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8217996/
Abstract

In the current scenario, traumas with violent causes are responsible for large numbers of cases. Among these, thoracic aorta injury caused by penetrating trauma is a cause of elevated morbidity and mortality, demanding adequate diagnosis, and can now often be repaired using endovascular procedures. This treatment method has proven to be safer, with a lower rate of complications than open surgical procedures. After endovascular repair, it is necessary to conduct continuous monitoring of the patient's health and correct any complications related to the procedure that may emerge. The objective of this article is to describe a case of penetrating trauma of the thoracic aorta that was treated endovascularly, since the literature predominantly covers blunt trauma injuries.

摘要

在当前情况下，由暴力原因导致的创伤引发了大量病例。其中，穿透性创伤所致的胸主动脉损伤是发病率和死亡率升高的一个原因，需要进行充分诊断，并且现在通常可通过血管内手术进行修复。这种治疗方法已被证明更安全，并发症发生率低于开放手术。血管内修复后，有必要持续监测患者的健康状况，并纠正可能出现的与手术相关的任何并发症。本文的目的是描述一例采用血管内治疗的胸主动脉穿透性创伤病例，因为文献主要涵盖钝性创伤损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/167a44936f0b/jvb-19-e20200132-g05.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/66bff56d9b10/jvb-19-e20200132-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/167a44936f0b/jvb-19-e20200132-g05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/de6f2250888d/jvb-19-e20200132-g01.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/4de2581bc65e/jvb-19-e20200132-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/66bff56d9b10/jvb-19-e20200132-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/167a44936f0b/jvb-19-e20200132-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/49ad86881187/jvb-19-e20200132-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/e81e68a82110/jvb-19-e20200132-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/4de2581bc65e/jvb-19-e20200132-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/66bff56d9b10/jvb-19-e20200132-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/167a44936f0b/jvb-19-e20200132-g05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/de6f2250888d/jvb-19-e20200132-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/e81e68a82110/jvb-19-e20200132-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/4de2581bc65e/jvb-19-e20200132-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/66bff56d9b10/jvb-19-e20200132-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db0a/8217996/167a44936f0b/jvb-19-e20200132-g05.jpg

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Endovascular management of penetrating and non-penetrating aortic injury.
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