Successful Endovascular Treatment of Traumatic Thoracic Aortic Injury Complicated by Severe Pelvic Hemorrhage

DOI Web Site 参考文献9件
  • Ueki Chikara
    Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, Shizuoka, Japan
  • Shintani Tsunehiro
    Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, Shizuoka, Japan
  • Akimoto Takehide
    Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, Shizuoka, Japan
  • Sakaguchi Genichi
    Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, Shizuoka, Japan

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A 25-year-old woman committed suicide with a high-rise fall and presented hypovolemic shock caused by blunt thoracic, abdominal injury. Enhanced computed tomography scan showed the pelvic hemorrhage and the transection of the descending thoracic aorta. After urgent transcatheter arterial embolization to stabilize bleeding from pelvic fracture, the thoracic aortic injury was treated with endovascular aortic repair using a GORE TAG endograft. She recovered from her injuries, and there was no evidence of endoleak in the follow-up computed tomography scan. In the treatment of traumatic aortic injury with associated severe injuries, the management of bleeding from associated injuries is important.

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