MULTIPLE THORACOABDOMINAL INJURIES TREATED WITH ENDOVASCULAR REPAIR FOR THORACIC AORTIC INJURY

Abstract

　　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.