Document Detail

Delayed treatment of contained blunt traumatic aortic rupture: a case of rupture treated by endoprosthesis.
MedLine Citation:
PMID:  12959209     Owner:  NLM     Status:  MEDLINE    
A 45-year-old man sustained an intracerebral frontal hematoma and a contained aortic isthmic rupture in a head-on automobile collision. Due to the intracerebral hemorrhage, open repair was contraindicated. Treatment with a stent graft was selected but delayed until the next morning, because the correct stent size was unavailable. Two hours before the time scheduled for surgery, the patient experienced oxygenation problems and became hypotensive. Chest radiography revealed a new, severe left hemothorax. Fortunately, the stent graft had just arrived from the manufacturer, and it was deployed to seal the ruptured aorta. Immediate angiography showed good stent-graft position without any endoleak as did a computed tomographic scan 2 days after the procedure. The patient was transferred to a rehabilitation unit to recover from his neurologic trauma. A 3-month follow-up computed tomographic scan showed the patient's condition to be unchanged.
François Dagenais; Richard Bauset; Roc Turcotte; Jean-Pierre Normand
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  30     ISSN:  0730-2347     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2003  
Date Detail:
Created Date:  2003-09-08     Completed Date:  2004-01-13     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  229-32     Citation Subset:  IM    
Department of Cardiovascular Surgery, Laval Hospital, 2725 chemin Sainte-Foy, Sainte-Foy, G1V 4G5 Quebec, Canada.
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MeSH Terms
Aortic Rupture / etiology*,  surgery*
Blood Vessel Prosthesis Implantation*
Middle Aged
Time Factors
Wounds, Nonpenetrating / complications*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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