Aortic Deceleration Injury Treated by Endograft: A Case Report with 11-Year Followup

• Main Authors: Zhi-Wei Hu, Wang-Zhong Gao, Yong-Quan Gu, Bing Chen, Guang-Chang Zhu, Wei-Tao Liang, Ya-Chan Ning
• Format: Article
• Language: English
• Published: Hindawi Limited 2012-01-01
• Series: Case Reports in Vascular Medicine
• Online Access: http://dx.doi.org/10.1155/2012/608358

Aortic deceleration injury is a common and critical condition following automobile accident with high fatality. The survivors complicated with associated serious injuries are even rare and definitive treatment is required. A 37-year-old male patient had both aortic blunt injury and coronary artery injury after a frontal car collision. After failed coronary artery percutaneous transluminal angioplasty (PTA) and deteriorated aortic lesion, the ruptured aorta was subsequently successfully treated by us with a self-made individualized endograft. The endograft was well in position and the patient functioned well in 11-year followup. With the development of endograft and technique, the endovascular treatment may be an option for patients with complicated aortic blunt injury. Yet careful patient selection and the long-term followup are essential.