Thoracic Endovascular Aortic Repair for Penetrating Injury
Author Information
Author(s): Amm Jacqueline, Laney Estelle, Robbertze Rubinette, Moeng Maeyane
Primary Institution: University of the Witwatersrand
Conclusion
The case demonstrates successful management of a penetrating thoracic aortic injury with a minimally invasive procedure, avoiding the morbidity associated with open surgery.
Supporting Evidence
- Endovascular repair carries a lower peri-operative morbidity and mortality rate than open repair.
- Most cases of penetrating thoracic vascular injury have haemodynamic instability, making open surgery the standard of care.
- The patient presented 5 days after injury with a contained aortic injury and was haemodynamically stable.
Takeaway
A man with a stab wound had a serious injury to his aorta, but doctors were able to fix it using a less invasive method instead of major surgery.
Methodology
The patient underwent a thoracic endovascular aortic repair (TEVAR) procedure after being diagnosed with a pseudoaneurysm of the descending aorta.
Limitations
The case report is based on a single patient, limiting the generalizability of the findings.
Participant Demographics
A 36-year-old male patient with a penetrating stab wound.
Digital Object Identifier (DOI)
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