Operation for chronic traumatic aortic aneurysm: when and how?

Chronic traumatic aneurysms of the descending thoracic aorta: mid-term results of endovascular repair using first and second-generation stent-grafts

“…Historically, descending thoracic aortic graft replacement for chronic traumatic aortic aneurysm is associated with a mortality rate of 4 -17%, and a risk of paraplegia between 1 and 4% [3]. Conventional open surgical intervention for chronic traumatic calcified aneurysm involving the distal arch and descending thoracic aorta can be technically challenging, and currently in our institution is treated using hypothermic circulatory arrest frequently to achieve a sound and safe proximal anastomosis [6].…”

Chronic Traumatic Thoracic Aortic Aneurysm: 40-Year Follow-Up

“…Katsumata et al advocate for observation of asymptomatic densely calcified aneurysms after two years of stability. While no prospective clinical trials have been performed to corroborate their assertion, our ultra‐long‐term report supports their conclusion.…”

“…Other centers have also developed injury grading systems and recommended nonoperative management for lower-level injuries. 8 Katsumata et al 9 advocate for observation of asymptomatic densely calcified aneurysms after two years of stability. While no prospective clinical trials have been performed to corroborate their assertion, our ultra-long-term report supports their conclusion.…”

Surgical repair for rupture of a chronic traumatic thoracic aneurysm 14 years after injury: report of a case

“…A left lateral thoracotomy is the most common approach. However, in cases of an aneurysm arising just distal to the left subclavian artery or involving the arch vessels, it is difficult to access the proximal neck of the aneurysm through only a left lateral thoracotomy [12]. We therefore performed a left lateral thoracotomy with a simultaneous median sternotomy [1].…”