The endovascular treatment of traumatic isthmic aortic rupture: three years follow-up

A. Giovannelli*, G. Alessandri*, A. Rama*, I. Gandjbakhch*, G. Rondoni*, A. Di Matteo, F. Tufano, N. Alessandri

*Departments of Cardiovascular Surgery, Groupe Hospitalier Pitié-Salpétrière, Paris (France)
Dipartimento del Cuore e Grossi Vasi “A. Reale”, – polo pontino – University of Rome “La Sapienza”, Rome (Italy)

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• Cardiology

Abstract. – The isthmic aortic rupture represents the main cause of death in car crash accidents, because of closed chest trauma. Early medical and surgical care and endovascular prosthesis treatment with semi-invasive method can improve short and mid term survival. Nine patients with traumatic isthmic aortic rupture underwent endoprosthesis aortic implantation. All the patients were male, mean age 42.48 ± 17.66 years Operations included 5 acute cases and 4 chronic cases (chance diagnosis) In all cases the diagnosis was performed by tomodensitometric exam. Cloth prostheses were used (self-expansible Goretex- or Dacron-stent). Three years after the endoprosthesis implantation, we obtained the complete thrombosis of the false aortic lumen in all patients, both acute and chronic, as well as the levelling of the false aneurysms without complications of any kind.

Corresponding Author: Nicola Alessandri, MD; e-mail: nicola.alessandri@uniroma1.it

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