Endovascular Treatment of Blunt Thoracic Aortic Injury by Fractured Rib

Gabriele Pagliariccio; Michele Salati; Alberto Roncon; Giulia Gironi; Luciano Carbonari

doi:10.1016/j.avsg.2018.10.021

Endovascular Treatment of Blunt Thoracic Aortic Injury by Fractured Rib

Ann Vasc Surg. 2019 May:57:272.e15-272.e17. doi: 10.1016/j.avsg.2018.10.021. Epub 2019 Jan 24.

Authors

Gabriele Pagliariccio¹, Michele Salati², Alberto Roncon², Giulia Gironi³, Luciano Carbonari³

Affiliations

¹ Department of Vascular Surgery, Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona, Ancona, Italy. Electronic address: [email protected].
² Department of Thoracic Surgery, Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona, Ancona, Italy.
³ Department of Vascular Surgery, Azienda Ospedaliero Universitaria Ospedali Riuniti Ancona, Ancona, Italy.

PMID: 30684606
DOI: 10.1016/j.avsg.2018.10.021

Abstract

We treated an 89-year-old patient affected by a descending thoracic aorta lesion due to a rib fracture with a penetrating costal stump. An urgent combined thoracic and endovascular surgical approach was performed, removing the rib fragment and positioning an aortic endoprosthesis simultaneously. Postoperative angio-computed tomography scan demonstrated the correct position of the endoprosthesis without any leakage or periaortic hemorrhage.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / injuries
Aorta, Thoracic / surgery*
Aortography / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Computed Tomography Angiography
Endovascular Procedures* / instrumentation
Female
Humans
Rib Fractures / diagnostic imaging
Rib Fractures / etiology*
Treatment Outcome
Vascular System Injuries / diagnostic imaging
Vascular System Injuries / etiology
Vascular System Injuries / surgery*
Wounds, Nonpenetrating / diagnostic imaging
Wounds, Nonpenetrating / etiology
Wounds, Nonpenetrating / surgery*