AI Summary & Key Takeaways
AI InsightIf the long-term results are as satisfactory as the promising mid-term results, this technique may become the gold standard approach for the treatment of acute transection.
📌 3 Key Takeaways
Abstract
A thirty-eight-year-old male patient who suffered from 10th and 11th thoracal vertebrae fractures, paraplegia and acute traumatic aortic transection because of accidental fall was referred to our hospital. Open surgical repair carried a very high risk due to severe coexisting injuries. Transection was treated with 30x100 mm Valiant thoracic endograft, which was deployed just distal to the ostium of the left carotid artery. The patient was transferred to the neurosurgery clinic for treatment of paraplegia after an uneventful recovery. Endovascular repair of acute transection confers substantial advantages in mortality and morbidity compared to surgical repair. However, the long-term durability of thoracic endografts remains unknown. If the long-term results are as satisfactory as the promising mid-term results, this technique may become the gold standard approach for the treatment of acute transection.
Özet
Yüksekten düşme sonucu 10. ve 11. torakal vertebralarda burst kırığı, parapleji ve akut aort transeksiyonu saptanan 38 yaşındaki erkek hasta, transeksiyon tedavisi amacıyla merkezimize sevk edildi. Eşlik eden ciddi yaralanmalar nedeniyle cerrahi onarım yüksek riskli bulundu. Transeksiyon endovasküler yöntemle, 30x100 mm Vailant torasik endogreft, sol karotis arter ostiyumunun hemen distaline yerleştirilerek onarıldı. Hasta olağan seyreden servis takibinin ardından nöroşirürji servisine, parapleji tedavisinin devamı amacıyla geri gönderildi. Akut transeksiyon tedavisinde endovasküler yöntemler cerrahi onarıma oranla morbidite ve mortalitede önemli avantajlar sağlamaktadır. Ancak torasik endogreftlerin uzun dönem sonuçları halen bilinmemektedir. Orta dönemde elde edilen umut verici sonuçlar uzun dönemde de sağlanabilirse, endovasküler onarım altın standart haline gelebilir.