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Ann Vasc Dis. 2014;7(4):410-2. doi: 10.3400/avd.cr.14-00024. Epub 2014 Sep 15.

Successful endovascular treatment of traumatic thoracic aortic injury complicated by severe pelvic hemorrhage.

Annals of vascular diseases

Chikara Ueki, Tsunehiro Shintani, Takehide Akimoto, Genichi Sakaguchi

Affiliations

  1. Department of Cardiovascular Surgery, Shizuoka General Hospital, Shizuoka, Shizuoka, Japan.

PMID: 25593627 PMCID: PMC4293192 DOI: 10.3400/avd.cr.14-00024

Abstract

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.

Keywords: TEVAR; multiple trauma; traumatic aortic injury

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