Endovascular repair of posttraumatic thoracic pseudoaneurysm with a stent graft.

Endovascular Repair of Traumatic Aortic Pseudoaneurysm With Associated Celiacomesenteric Trunk

“…Endovascular repair of traumatic thoracic pseudoaneurysms is advocated by many authors due to the decreased complication risks. [8][9][10][11][12][13][14] Limitations to the successful endovascular treatment of supraceliac pseudoaneurysms include large native aortic diameter, proximity to the celiac trunk, risk of paraplegia, emergent nature of the repairs, and lack of appropriately sized stent-grafts.…”

“…[1][2][3][4] Most operations are performed with significant morbidity and mortality given the location of the injuries and the associated injuries at the time of repair. [5][6][7] While endovascular repair of aortic pseudoaneurysms has been described, [8][9][10][11][12][13][14] most cases have involved injuries in the proximal thoracic aorta. Endovascular repair of the abdominal aorta proximal to the celiac artery is limited by concerns of celiac artery coverage and possible visceral/hepatic ischemia.…”

Endovascular treatment of thoracic aortic aneurysms: a review

“…The etiologies treated include aortic aneurysms of atherosclerotic/degenerative, (chronic) traumatic, anastomotic, or mycotic origin (Fig. 5) [40,41,42,43,44,47,48,49,50,51,52,53,54,55,56,57,80,81]. Indications in patients with type-B aortic dissection and giant penetrating ulcers are not clearly defined [16,25,29,30,33,35,36,37,38,39,80].…”

“…Since then, progress has been made and several institutions have substantiated the safety and effectiveness of stent grafts in the repair of thoracic aortic aneurysms [24,25,26,27,28]. With increasing experience in stent grafting of TAAs, numerous other aortic diseases, such as aortic dissection, penetrating atherosclerotic ulcers, aortopulmonary fistulas, and acute aortic rupture, due to blunt chest trauma or mycotic aneurysms, were investigated as a potential indication for endovascular treatment (Table 1) [16,25,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54].…”

Évaluation du diamètre de l'aorte thoracique descendante proximale avec l'âge : Conséquence pour la mise en place des endoprothèses dans l'aortique thoracique

“…Plusieurs etudes ont etabli la sû ret e et l'efficacit e des endoproth eses aortiques thoraciques dans le traitement de la maladie an evrysmale, des dissections, et mê me des traumatismes [9][10][11][12][13][14][15][16][17][18][19]. Bien que les tenant de la chirurgie conventionnelle des an evrysmes aortiques thoraciques avancent les arguments d'une morbi-mortalit e pr ecoce equivalente et de r esultats a long terme etablis, morbidit e et la mortalit e tô t egale et une exp erience professionnelle a long terme etablie de r esultats, les avantages subjectifs des endoproth eses, qui permettent d' eviter une thoracotomie, une ventilation m ecanique et une hospitalisation prolong ees, sont ind eniables.…”