THORACIC AORTIC ANEURISM 29 YEARS AFTER LACERATION AND PRIMARY REPAIR

  • Margarida S. Ferreira Hospital Garcia de Orta; Faculdade de Medicina da Universidade de Lisboa, Portugal
  • Gil Marques Hospital Garcia de Orta, Portugal
  • António Gonzalez Hospital Garcia de Orta, Portugal
  • Gonçalo Sousa Hospital Garcia de Orta, Portugal
  • João Vieira Hospital Garcia de Orta, Portugal
  • Maria José Ferreira Hospital Garcia de Orta, Faculdade de Medicina da Universidade de Lisboa, Portugal
Keywords: Aortic laceration, Traumatic aneurysm, TEVAR

Abstract

Blunt thoracic aortic injury is a highly lethal injury both in the prehospital and in hospital setting.
Survival of this injury is rare and therefore there is few data on the long term prognosis of these patients.
We report a case of a patient who underwent primary repair of a traumatic thoracic aorta laceration and presented 29 years later with an aortic aneurysm in the same location as the initial repair. The patient was submitted to endovascular repair of the aneurysm. The techniques for repair of traumatic aortic lacerations and the available evidence on the prognosis of these patients are reviewed, with a focus on the incidence of secondary injuries after initial repair and proposed follow-up plans.

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Published
2019-12-27
Section
Clinical Case