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Endovascular treatment of pseudoaneurysm of the thoracic aorta from a firearm injury
  • Universidade Estadual de Campinas (UNICAMP)
  • Universidade Estadual Paulista (UNESP)
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. © 2008 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Issue Date: 
Interactive Cardiovascular and Thoracic Surgery, v. 7, n. 3, p. 529-530, 2008.
Time Duration: 
  • Aorta
  • Gunshot wounds
  • Penetrating wounds
  • Pseudoaneurysm
  • adult
  • aorta disease
  • artery disease
  • case report
  • computer assisted surgery
  • endoleak
  • endovascular surgery
  • false aneurysm
  • fluoroscopy
  • follow up
  • gunshot injury
  • hemodynamics
  • hospital discharge
  • human
  • lung artery
  • male
  • penetrating trauma
  • postoperative complication
  • postoperative period
  • priority journal
  • surgical technique
  • thoracic aorta
  • thoracotomy
  • Adult
  • Aneurysm, False
  • Aortic Aneurysm, Thoracic
  • Blood Vessel Prosthesis Implantation
  • Humans
  • Male
  • Stents
  • Surgical Procedures, Minimally Invasive
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Wounds, Gunshot
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Appears in Collections:Artigos, TCCs, Teses e Dissertações da Unesp

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