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创伤性胸主动脉破裂：一种危及生命的急症及血管内修复的作用

Traumatic rupture of the thoracic aorta: A life-threatening emergency and the role of endovascular repair.

作者信息

Thanh Vu Tri, Bang Ho Tat, Hai Phan Vu Hong, Phuong Dao Duy, Cuong Lam Thao, Vy Tran Thanh

机构信息

Thu Duc City Hospital, Ho Chi Minh City, Vietnam.

Thoracic and Vascular Department, University Medical Center HCMC, University of Medicine and Pharmacy, 215 Hong Bang St, District 5, Ho Chi Minh City, 72714 Vietnam.

出版信息

Radiol Case Rep. 2023 Feb 14;18(4):1605-1609. doi: 10.1016/j.radcr.2023.01.075. eCollection 2023 Apr.

DOI:10.1016/j.radcr.2023.01.075
PMID:36852290
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9958258/
Abstract

Traumatic rupture of the thoracic aorta is a rare condition, with a high mortality rate. Over the last 2 decades, strategies for managing aortic injury caused by blunt chest trauma have changed substantially, resulting in significantly improved outcomes. The recent development of endovascular repair offers a less invasive alternative to conventional open repair, particularly in patients with multiple injuries. Here, we report the case of a 31-year-old man who was referred to our emergency department with blunt chest trauma following a motorcycle-truck collision. Computed tomography confirmed acute traumatic rupture of the thoracic aorta, and the patient was successfully treated with endovascular repair.

摘要

创伤性胸主动脉破裂是一种罕见疾病，死亡率很高。在过去20年中，钝性胸部创伤所致主动脉损伤的处理策略发生了重大变化，从而显著改善了治疗效果。血管内修复术的最新进展为传统开放性修复提供了一种侵入性较小的替代方法，尤其是对于多发伤患者。在此，我们报告一例31岁男性患者，其在摩托车与卡车相撞后因钝性胸部创伤被送至我院急诊科。计算机断层扫描证实为急性创伤性胸主动脉破裂，该患者通过血管内修复术获得成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/fe64c26c89ad/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/dee7b338d139/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/c6d3c07b41cf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/1009f44117b9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/fe64c26c89ad/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/dee7b338d139/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/c6d3c07b41cf/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/1009f44117b9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe2/9958258/fe64c26c89ad/gr4.jpg

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