Combined fenestrated/chimney thoracic endovascular repair for the treatment of blunt traumatic aortic injury: A case report

• 作者: Zhang Li Wu Hua-Ping Li Xiang Lü Kai-Ping Song Huan-Huan Zeng Cun-Liang Liu Jian-Lin
• 来源期刊: 中华创伤杂志英文版
• 关键词: Blunt traumatic aortic injury Fenestration Chimney technique Thoracic endovascular repair
• 年，卷（期）: 2021,（3）
• 所属期刊栏目: Case Report
• 页码范围: 140-143
• 页数: 4页
• 语种: 中文
• DOI: 10.1016/j.cjtee.2021.02.003

摘要

Blunt traumatic thoracic aortic injury (BTAI) is an extremely serious medical condition with a high rate of associated mortality. Recent advances in techniques such as thoracic endovascular repair offer new opportunities to manage the critical BTAI patients in an efficacious yet less invasive manner. A 65 year-old-male suffered from multiple injuries after a fall, including BTAI in the aortic arch, which resulted in dissection of the descending thoracic-abdominal aorta and iliac artery, development of an intimal flap in the left common carotid artery, and dissection of the left subclavian artery. Based on the imaging information of this patient and our clinical experience, the combined treatment of fenestrated thoracic endovascular repair and a chimney technique was immediately planned to fully repair these dissections and moreover prevent further dissection of the branching vessels, additionally to ensure sufficient blood flow in the left subclavian artery and left common carotid artery. The intervention yielded satisfactory early outcomes. Follow-up assessment at six months reported no symptoms or complications associated with the stent-graft. Computed tomography angiography further confirmed adequate stent-graft coverage of the aortic injury.