Endovascular Thoracic Aortic Repair for Catheter Associated Aortic Injury During Thoracostomy Tube Placement.
EJVES Short Rep 2019;
46:2-4. [PMID:
31879704 PMCID:
PMC6920331 DOI:
10.1016/j.ejvssr.2019.11.002]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2019] [Revised: 11/11/2019] [Accepted: 11/17/2019] [Indexed: 11/30/2022] Open
Abstract
Background
Aortic injuries during non-aortic related procedures are rare but potentially catastrophic. Endovascular aortic repair has been described as a viable option in similar circumstances. However, most reports involve aortic injury from orthopaedic hardware after spine surgery or trocar injury during abdominal surgery.
Report
This is a report of a thoracic aortic injury during thoracostomy tube placement and summary of the management paradigm. The patient was treated with a thoracic stent graft and was seen at four-month follow up, with imaging showing the endograft in stable position.
Conclusion
Endovascular stenting can increase the treatment scope for management of emergent thoracic aortic pathology.
Iatrogenic aortic injuries during non-aortic related procedures are rare.
Such injuries can be catastrophic.
Most reported injuries involve orthopaedic hardware from spine surgery.
This is a case of thoracostomy tube placement leading to acute aortic injury.
Endovascular aortic endografts have simplified treatment of acute aortic injuries.
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