Document Detail

Endovascular treatment of pseudoaneurysm of the thoracic aorta from a firearm injury.
MedLine Citation:
PMID:  18303039     Owner:  NLM     Status:  MEDLINE    
A 24-year-old male patient was the victim of a firearm wound that penetrated the thorax. He arrived at another hospital hemodynamically unstable and was submitted to exploratory surgery by means of bithoracotomy. A lesion of the left branch of the pulmonary artery was detected and successfully repaired. He was submitted for computer-aided tomography on the fifth postoperative day, and a lesion of the mid-thoracic aorta was detected, which formed a saccular image. Considering that the patient had already been submitted to a bithoracotomy and that a direct approach to repair would involve another thoracotomy within a short period of time, endovascular treatment was chosen in our hospital. The procedure was performed under fluoroscopy. A second computer-aided tomography indicated adequate treatment of the lesion, with no indication of an endoleak. He has undergone ambulatory follow-up for 36 months without any problem related to the procedure. While endovascular treatment of the aorta has developed enormously, multicenter studies are needed to better define the long-term results of this approach.
Orlando Petrucci; Pedro Paulo Martins de Oliveira; Antonio Sérgio Martins; Reinaldo Wilson Vieira
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-02-26
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-22     Completed Date:  2008-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  529-30     Citation Subset:  IM    
Cardiac Surgery Unit, Department of Surgery, School of Medical Sciences, State University of Campinas, Rua Alexander Fleming, 181, Cidade Universitária Zeferino Vaz, 13083-970, Campinas, São Paulo, Brazil.
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MeSH Terms
Aneurysm, False / etiology,  radiography,  surgery*
Aortic Aneurysm, Thoracic / etiology,  radiography,  surgery*
Blood Vessel Prosthesis Implantation* / instrumentation
Surgical Procedures, Minimally Invasive
Tomography, X-Ray Computed
Treatment Outcome
Wounds, Gunshot / complications*,  radiography,  surgery
Comment In:
Interact Cardiovasc Thorac Surg. 2008 May;7(3):531   [PMID:  18495730 ]

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

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