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Endovascular treatment of pseudoaneurysm of the thoracic aorta from a firearm injury

^a Cardiac Surgery Unit, Department of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, 181, Cidade Universitária ‘Zeferino Vaz’, 13083-970, Campinas, São Paulo, Brazil
^b Julio de Mesquita Filho State University (UNESP), School of Medical Sciences, São Paulo, Brazil

*Corresponding author. Rua João Baptista Geraldi, 135, Campinas, SP, Brazil, CEP 13085020. Tel./fax: +55-19-32490051.

E-mail address: orlandopetrucci{at}gmail.com; orlando{at}fcm.unicam.br (O. Petrucci).

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.

Key Words: Aorta; Pseudoaneurysm; Gunshot wounds; Penetrating wounds

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				S. Lentini, F. Benedetto, R. Gaeta, and F. Spinelli Endovascular treatment of post-traumatic thoracic aorta lesions Interactive CardioVascular and Thoracic Surgery, June 1, 2008; 7(3): 531 - 531. [Full Text] [PDF]