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Volume 45, Issue 3 , Pages 487-492 , March 2007

Twenty consecutive cases of endograft repair of traumatic aortic disruption: Lessons learned

Presented at the Twentieth Annual Meeting of the Eastern Vascular Society, Washington, DC, Sept 28-30, 2006.

David G. Neschis, MD
- Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
- Reprint requests: David G. Neschis, MD, Assistant Professor of Surgery, Division of Vascular Surgery, University of Maryland Medical Center, 22 S. Greene St, Room N4W66, Baltimore, MD 21201.
Sina Moaine, MD
- Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, Md
Rao Gutta, MD
- Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
Kirk Charles, MD
- Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
Thomas M. Scalea, MD
- R. Adams Cowley Shock Trauma Center, Baltimore, Md.
William R. Flinn, MD
- Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, Md
Bartley P. Griffith, MD
- Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, Md

Received 9 October 2006 ,Accepted 15 November 2006.

A, The predeployment angiogram of a 17-year-old boy with a 19-mm aorta demonstrates a traumatic aortic pseudoaneurysm. Use of a 26-mm TAG device would have caused significant oversizing. B, The comple

A, The predeployment angiogram of a 17-year-old boy with a 19-mm aorta demonstrates a traumatic aortic pseudoaneurysm. Use of a 26-mm TAG device would have caused significant oversizing. B, The completion angiogram after placement of three 23-mm Gore abdominal aortic cuffs demonstrates exclusion of the pseudoaneurysm and preserved patency of the left subclavian artery.
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A, This preoperative computed tomography (CT) scan demonstrates aortic transection with pseudoaneurysm in a 23-year-old man with a 24-mm aorta. B, Completion angiogram after placement of a 26-mm TAG d

A, This preoperative computed tomography (CT) scan demonstrates aortic transection with pseudoaneurysm in a 23-year-old man with a 24-mm aorta. B, Completion angiogram after placement of a 26-mm TAG device. Note extension of device into lumen of aorta (arrow) with presence of endoleak (arrowhead). C, A CT scan on postoperative day 6 demonstrates collapse of the TAG device.
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