Endovascular treatment of distal thoracic aortic transection associated with severe thoracolumbar spinal fracture

Megan M. Chock, Johnathon Aho, Nimesh Naik, Michelle Clarke, Stephanie Heller, Gustavo Oderich

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Endovascular repair has become the first line of treatment in most patients with blunt aortic injury. The most common mechanism is deceleration injury affecting the aortic isthmus distal to the origin of the left subclavian artery. Injuries of the distal thoracic aorta are uncommon. We report the case of a 25-year-old male patient who presented with paraplegia and distal thoracic aortic pseudoaneurysm associated with severe thoracolumbar vertebral fracture and displacement after a motocross accident. Endovascular repair was performed using total percutaneous technique and conformable C-TAG thoracic stent-graft (WL Gore, Flagstaff, AZ). Following stent-graft placement and angiographic confirmation of absence of endoleak, thoracolumbar spinal fixation was performed in the same operative procedure. This case illustrates a multispecialty approach to complex aortic and vertebral injury and the high conformability of newer thoracic stent-grafts to adapt to tortuous anatomy.

Original languageEnglish (US)
Pages (from-to)550-552
Number of pages3
JournalVascular
Volume23
Issue number5
DOIs
StatePublished - Oct 29 2015

Keywords

  • aorta
  • blunt trauma
  • Endovascular repair
  • thoracolumbar fracture

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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