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    Ahmed Farghaly, Ahmed Marakby, Fouad Saad Eldin.
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    • TEVAR for Blunt Traumatic Thoracic Aortic Injuries, A Single Centre Experience

    Ahmed Farghaly, Ahmed Marakby, Fouad Saad Eldin.
    Vascular Surgery Unit, Surgery Department, Kasr Alaini Medical School, Cairo University

    Background: Thoracic aortic injury from blunt trauma is a life-threatening condition with significant mortality and morbidity with open surgical repair. Endovascular means of treatment is an attractive and less invasive option. We report our experience with TEVAR for blunt traumatic thoracic aorta injuries. Aim of study: A retrospective analytic study presenting Cairo University Hospitals’ experience in managing traumatic thoracic aortic injuries’ patients by TEVAR. Methodology: From Jan 2012 till Jan 2015, 11 patients with post traumatic thoracic aortic injuries presented to our vascular surgery unit were subjected to Endovascular stent graft repair. All patients were followed up for 12 months. Results: All procedures were technically successful; we didn’t have any early post-operative mortality. None of our patients experienced neurological deficits, one patient had a Type II endoleak within 6 months that was relieved spontaneously and unfortunately we had one mortality at 6 months that was not aorta related. Conclusions: Our early experience of TEVAR for management of blunt traumatic thoracic aorta injury suggests that this technique is safe for treatment of such pathology. Left subclavian artery may be sacrificed if adequate proximal landing zone is required for the stent-graft with tolerable outcome. 

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