MULTIPLE THORACOABDOMINAL INJURIES TREATED WITH ENDOVASCULAR REPAIR FOR THORACIC AORTIC INJURY

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  • KAWANO Fumiaki
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • TASHIRO Kousei
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • NAKAO Hironobu
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • MORI Hiroki
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • ICHIKI Nobuhiko
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • OGATA Shougo
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • ENDO Jouji
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • IKEDA Takuto
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • TAKENO Shinsuke
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • NAKAMURA Eisaku
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • KANEMARU Katsuhiro
    Center for Traumatology and Acute Critical Medicine, Faculty of Medicine, Miyazaki University
  • OCHIAI Hidenobu
    Center for Traumatology and Acute Critical Medicine, Faculty of Medicine, Miyazaki University
  • NAKAMURA Kunihide
    Department of Surgery, Faculty of Medicine, Miyazaki University
  • NANASHIMA Atsushi
    Department of Surgery, Faculty of Medicine, Miyazaki University

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Other Title
  • 大動脈損傷に対する胸部大動脈ステントグラフト内挿術を併用した胸腹部多発外傷の２例

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<p>　　We reported two patients who underwent emergency laparotomy and thoracic endovascular aortic repair (TEVAR) for traumatic abdominal and thoracic aortic injuries. Case 1 : Emergency laparotomy was performed for intra-abdominal hemorrhage following an accidental fall. Postoperative computed tomography (CT) revealed thoracic aortic injury and extravasation from the left renal artery. We performed transcatheter arterial embolization for the left renal artery bleeding and TEVAR for thoracic aortic injury. Case 2 : A patient injured in a traffic accident was transferred to our department. Trauma pan-scan demonstrated thoracic aortic injury, free air and extravasation in the abdomen, and unconfirmed contrast in the left femoral artery. We performed femorofemoral bypass for left lower limb ischemia, emergency laparotomy for gastrointestinal perforation with intra-abdominal hemorrhage, and TEVAR for thoracic arterial injury. Currently, endovascular aortic repair is widely performed for traumatic aortic injuries. This procedure has good efficacy in cases with multiple injuries.</p>

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