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Abstract
The blunt thoracic aortic injury is a rare entity, but it carries a high morbimortality. For this reason, the diagnosis, classification and management represent a challenge for the physician. The present article describes the case of a previously healthy male patient, who suffers a fall from 4m and in which a pseudoaneurysm in the descending aorta secondary to the trauma is identified.
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References
Estrera AL, Miller CC, Guajardo-Salinas G, Coogan S, Charlton-Ouw K, Safi HJ, et al. Update on blunt thoracic aortic injury: Fifteen-year single-institution experience. J Thorac Cardiovasc Surg. 26 de diciembre 2012 [citado 16 de mayo de 2020];145(3):S154-8. Disponible en: https://doi.org/10.1016/j.jtcvs.2012.11.074
Akhmerov A, DuBose J, Azizzadeh A. Blunt Thoracic Aortic Injury: Current Therapies, Outcomes, and Challenges. Ann Vasc Dis. 25 de marzo de 2019 [citado 16 de mayo de 2020];12(1):1-5. Disponible en: https://doi.org/10.3400/avd.ra.18-00139
Boutrous ML, Afifi RO, Azizzadeh A, Estrera AL. Blunt Thoracic Aortic Trauma. En: Stanger OH, Pepper JR, Svensson LG, editores. Surgical Management of Aortic Pathology [Internet]. Vienna: Springer Vienna; 16 de abril 2019 [citado 16 de mayo de 2020]. p. 1039-48. Disponible en: http://link.springer.com/10.1007/978-3-7091-4874-7_74
Mouawad NJ, Paulisin J, Hofmeister S, Thomas MB. Blunt thoracic aortic injury – concepts and management. J Cardiothorac Surg. 19 de abril de 2020 [citado 16 de mayo de 2020];15(1):62. Disponible en: https://doi.org/10.1186/s13019-020-01101-6
Fortuna GR, Perlick A, DuBose JJ, Leake SS, Charlton-Ouw KM, Miller CC, et al. Injury grade is a predictor of aortic-related death among patients with blunt thoracic aortic injury. J Vasc Surg. 01 de mayo 2016 [citado 16 de mayo de 2020];63(5):1225-31. Disponible en: https://doi.org/10.1016/j.jvs.2015.11.046
Harris DG, Rabin J, Starnes BW, Khoynezhad A, Conway RG, Taylor BS, et al. Evolution of lesion-specific management of blunt thoracic aortic injury. J Vasc Surg. 01 de agosto de 2016 [citado 16 de mayo de 2020];64(2):500-5. Disponible en: https://doi.org/10.1016/j.jvs.2015.12.066
Heneghan RE, Aarabi S, Quiroga E, Gunn ML, Singh N, Starnes BW. Call for a new classification system and treatment strategy in blunt aortic injury. J Vasc Surg. 01 de julio de 2016 [citado 16 de mayo de 2020];64(1):171-6. Disponible en: https://doi.org/10.1016/j.jvs.2016.02.047
Cheng Y-T, Cheng C-T, Wang S-Y, Wu VC-C, Chu P-H, Chou A-H, et al. Long-term Outcomes of Endovascular and Open Repair for Traumatic Thoracic Aortic Injury. JAMA Netw Open. 8 de febrero de 2019 [citado 17 de mayo de 2020];2(2):e187861. Disponible en: https://doi:10.1001/jamanetworkopen.2018.7861
Muhamad NAN, Hawari Rossman. A case of missed blunt traumatic aortic injury (BTAI). Med J Malaysia. Junio 2017 [citado 17 de mayo de 2020]; 72(3): 193-194. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28733569/
Bade-Boon J, Mathew JK, Fitzgerald MC, Mitra B. Do patients with blunt thoracic aortic injury present to hospital with unstable vital signs? A systematic review and meta-analysis. Emerg Med J. abril 2018 [citado 17 de mayo de 2020];35(4):231-7. Disponible en: https://emj.bmj.com/content/35/4/231.long
Talaie T, Morrison JJ, O’Connor JV. Blunt thoracic aortic injury. J Cardiothorac Trauma. 20 de diciembre 2018 [citado 17 de mayo de 2020];3:11-8. Disponible en: https://www.jctt.org/text.asp?2018/3/1/11/248105
Mokrane FZ, Revel-Mouroz P, Saint Lebes B, Rousseau H. Traumatic injuries of the thoracic aorta: The role of imaging in diagnosis and treatment. Diagn Interv Imaging. julio de 2015 [citado 17 de mayo de 2020];96(7-8):693-706. Disponible en: https://doi.org/10.1016/j.diii.2015.06.005
Nagpal P, Mullan BF, Sen I, Saboo SS, Khandelwal A. Advances in Imaging and Management Trends of Traumatic Aortic Injuries. Cardiovasc Intervent Radiol. Mayo 2017 [citado 17 de mayo de 2020];40(5):643–54. Disponible en: https://doi.org/10.1007/s00270-017-1572-x
Sandhu HK, Leonard SD, Perlick A, Saqib NU, Miller CC, Charlton-Ouw KM, et al. Determinants and outcomes of nonoperative management for blunt traumatic aortic injuries. J Vasc Surg. febrero de 2018 [citado 18 de mayo de 2020];67(2):389-98. Disponible en: https://doi.org/10.1016/j.jvs.2017.07.111
Spencer SM, Safcsak K, Smith CP, Cheatham ML, Bhullar IS. Nonoperative management rather than endovascular repair may be safe for grade II blunt traumatic aortic injuries: An 11-year retrospective analysis. J Trauma Acute Care Surg. Enero 2018 [citado 18 de mayo de 2020];84(1):133–8. Disponible en https://journals.lww.com/jtrauma/Abstract/2018/01000/Nonoperative_management_rather_than_endovascular.20.aspx
Erbel R, Aboyans V, Boileau C, Bossone E, Bartolomeo RD, Eggebrecht H, Evangelista A, Falk V, Frank H, Gaemperli O, Grabenwöger M, Haverich A, Iung B, Manolis AJ, Meijboom F, Nienaber CA, Roffi M, Rousseau H, Sechtem U, Sirnes PA, Allmen RS, Vrints CJ; ESC Committee for Practice Guidelines. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 01 de noviembre 2014[citado 6 de junio 2022];35(41):2873-926. Disponible en: https://doi.org/10.1093/eurheartj/ehv178
Harky A, Bleetman D, Chan JSK, Eriksen P, Chaplin G, MacCarthy-Ofosu B, et al. A systematic review and meta-analysis of endovascular versus open surgical repair for the traumatic ruptured thoracic aorta. J Vasc Surg. enero de 2020 [citado 18 de mayo de 2020];71(1):270-82. Disponible en: https://doi.org/10.1016/j.jvs.2019.05.011
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