Seminars in Thoracic and Cardiovascular Surgery
Volume 21, Issue 4 , Pages 393-398, Winter 2009

Endovascular Repair of Blunt Thoracic Aortic Injuries

  • Derek R. Brinster, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Derek R. Brinster, MD, Divisions of Cardiothoracic and Vascular Surgery, Virginia Commonwealth University Medical Center, Medical College of Virgínia Campus, West Hospital Building, 7th Floor, South Wing, 1200 East Broad Street. P.O. Box 980068. Richmond, VA 23298-0068

Division of Cardiothoracic Surgery and Division of Vascular Surgery, Virginia Commonwealth University Medical Center, Richmond, Virginia

Blunt traumatic aortic injury is a highly fatal injury caused from rapid deceleration of the thorax. Most victims do not survive to obtain emergency medical care. Immediate open surgical repair had been the standard of care for decades, but more recent strategies and the emergence of thoracic aortic endografting have changed protocols for the treatment of this highly lethal lesion. This article reviews the current treatment of blunt thoracic aortic injury and the use of thoracic aortic stent grafting for this patient population.

Keywords: aorta, thoracic stent graft, trauma

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PII: S1043-0679(09)00139-7

doi:10.1053/j.semtcvs.2009.11.003

Seminars in Thoracic and Cardiovascular Surgery
Volume 21, Issue 4 , Pages 393-398, Winter 2009