Journal of vascular surgery · 2011
Endovascular repair of the aorta and aortic arch arteries damaged during mediastinoscopy.
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Smith Sara-Jane, Lyons Oliver T A, Patel Ashish S, Clough Rachel E, Salter Richard, Bell Rachel E, Taylor Peter R
Аннотация
Despite advances in imaging techniques, mediastinoscopy remains an important tool for the staging of the mediastinum in non-small cell lung cancer and diagnosing lymphoma with mediastinal adenopathy. Injury to the arterial system during mediastinoscopy is infrequent but a potentially fatal complication. We report three cases of injury to the aorta and supra-aortic arteries sustained during mediastinoscopy. These were effectively managed by endovascular techniques. Patient recovery was uncomplicated and median length of stay was 3 days. This technique avoids major open surgery in a high-risk group of patients and may offer a mortality benefit and more rapid resumption of oncological treatment.