Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 763-769, March 2010

Open vs endovascular repair of blunt traumatic thoracic aortic injuries

  • Pascal Rheaume, MD

      Affiliations

    • Division of Vascular Surgery, Vancouver General Hospital & University of British Columbia, Vancouver, British Columbia, Canada
    • ,
  • Jerry Chen, MD

      Affiliations

    • Division of Vascular Surgery, Vancouver General Hospital & University of British Columbia, Vancouver, British Columbia, Canada
    • Corresponding Author InformationReprint requests: Dr Jerry C. Chen, Division of Vascular Surgery, University of British Columbia, Room 4203-2775 Laurel Street, Vancouver, British Columbia, Canada V5Z 1M9
    • ,
  • Patrick Casey, MD

      Affiliations

    • Division of Vascular Surgery, QEII Health Sciences Centre & Dalhousie University, Halifax, Nova Scotia, Canada

Received 4 December 2009; accepted 4 December 2009.

Thomas L. Forbes, MD, Section Editor

A 42-year-old female is involved in a motor vehicle accident and presents with a number of injuries. She is hemodynamically stable and is found to have multiple rib fractures, a hemopneumothorax, and several uncomplicated long bone fractures. A CT scan of her chest reveals a traumatic injury to her proximal descending thoracic aorta with evidence of pseudoaneurysm formation and surrounding hematoma (Fig 1). The following debate attempts to resolve whether open repair remains the gold standard for the treatment of blunt thoracic aortic injuries.

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 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(09)02471-9

doi:10.1016/j.jvs.2009.12.014

Journal of Vascular Surgery
Volume 51, Issue 3 , Pages 763-769, March 2010

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