Original Article
Surgical treatment strategy for traumatic aortic injury
Chen Suwei, Zhong Yongliang, Li Chengnan, Ge Yipeng, Qiao Zhiyu, Qi Ruidong, Hu Haiou, Zhu Junming, Sun Lizhong
Published 2020-02-25
Cite as Chin J Thorac Cardiovasc Surg, 2020, 36(2): 79-82. DOI: 10.3760/cma.j.issn.1001-4497.2020.02.003
Abstract
ObjectiveTo summarize the surgical treatment strategy for aortic injury caused by trauma.
MethodsFrom January 2009 to January 2018, 34 patients with TAI were treated in Beijing Anzhen Hospital. 10 had hypertension. 23 cases were males. There were 31 cases caused by traffic accidents, 2 cases were fall injuries, and 1 case was bruise. 9 cases were thoracic aortic pseudoaneurysm, 6 cases were thoracic aorta, and 19 cases were aortic dissection. 29 patients underwent TEVAR and 5 patients underwent OR (2 patients with type A aortic dissection undergoing Bentall + Sun's procedure, 1 patient with type B aortic dissection and 2 patients with thoracic aortic pseudoaneurysm undergoing stented elephant trunk procedure).
ResultsThe follow-up time was (45.09±23.10) months. The mean age of patients undergoing OR or TEVAR was (44.80±20.57) years old, (45.93±11.01) years old; the mean operation time was(403.20±30.30) minutes, (105.72±27.76) minutes; the mean hospitalization (19.00±6.04), (5.76±3.08) days. There were no deaths in the two groups. 2 patients uundergoing TEVAR had left upper limb numbness.
ConclusionThe treatment of patients with TAI should be based on the general condition, the classification of injury, the involving regions and anatomical features to choose different treatments. In addition, the long-term prognosis of patients remains to be determined.
Key words:
Aortic disease; Trauma; Stented elephant trunk procedure; Thoracic aortic endovascular repair
Contributor Information
Chen Suwei
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Zhong Yongliang
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Li Chengnan
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Ge Yipeng
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Qiao Zhiyu
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Qi Ruidong
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Hu Haiou
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Zhu Junming
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
Sun Lizhong
Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Beijing 100029, China
