Chiu Michael H, Kaitoukov Youri, Roze des Ordons Amanda
Department of Critical Care, Cummings School of Medicine, University of Calgary, AB, Canada.
Department of Radiology, Cummings School of Medicine, University of Calgary, AB, Canada.
Case Rep Vasc Med. 2022 Feb 14;2022:5583120. doi: 10.1155/2022/5583120. eCollection 2022.
Blunt thoracic aortic injury (BTAI) is associated with high mortality and morbidity. Thoracic endovascular aortic repair has become the recommended treatment modality given improved short-term results compared to open repair. We present a case of a 19-year-old male who presented with acute paralysis and multiorgan dysfunction from acute TEVAR thrombosis. Systemic thrombolysis, catheter-directed thrombolysis followed by aspiration thrombectomy, and angioplasty were initially successful in restoring perfusion. However, he developed progressive multiorgan failure related to prompt reocclusion within 48 hours. This case is the first to describe thrombolysis and angioplasty as a management strategy for acute TEVAR thrombosis. We also review the literature surrounding this uncommon complication.
钝性胸主动脉损伤（BTAI）与高死亡率和高发病率相关。与开放修复相比，胸主动脉腔内修复术由于短期效果改善已成为推荐的治疗方式。我们报告一例19岁男性病例，该患者因急性胸主动脉腔内修复术（TEVAR）血栓形成出现急性瘫痪和多器官功能障碍。全身溶栓、导管定向溶栓继以血栓抽吸术和血管成形术最初成功恢复了灌注。然而，他在48小时内出现与迅速再闭塞相关的进行性多器官功能衰竭。该病例是首例将溶栓和血管成形术描述为急性TEVAR血栓形成管理策略的病例。我们还回顾了围绕这一罕见并发症的文献。
