[Endovascular therapy of acute traumatic aortic transection].

OBJECTIVE

To explore the feasibility of endovascular stent-graft prostheses in treating acute transaction of thoracic aorta. (TAT)

METHODS

A patient with injury from a car accident was diagnosed by computed tomography angiography (CTA) , and then treated by endovascular therapy immediately.

RESULTS

After treatment, symptoms such as chest pain and shortness of breath were improved, hemoglobin became normal, and no complication was found. CTA revealed that stent-graft was located in a satisfactory position, and subclavian artery was clearly demonstrated 6 months later.

CONCLUSIONS

Potential TAT should be examined in patients with trauma in the chest. Active treatment should be performed in patients with severe symptoms or CTA-confirmed endoartial injury of aorta, for whom endovascular therapy may be the first choice.