Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report
Background: Hybrid emergency rooms (ERs) allow computed tomography (CT) scanning, interventional radiology, and surgery all in the same suite. Severe trauma patients with blunt thoracic aortic injury (BTAI) require rapid diagnosis and treatment. Hybrid ERs allow the potential for clinicians to imple...
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| Language: | English |
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Elsevier
2025-02-01
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| Series: | Trauma Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644025000019 |
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| author | Mayo Kondo Takeshi Nishimura Saki Maemura Shinichi Ijuin Haruki Nakayama Shigenari Matsuyama Satoshi Ishihara |
| author_facet | Mayo Kondo Takeshi Nishimura Saki Maemura Shinichi Ijuin Haruki Nakayama Shigenari Matsuyama Satoshi Ishihara |
| author_sort | Mayo Kondo |
| collection | DOAJ |
| description | Background: Hybrid emergency rooms (ERs) allow computed tomography (CT) scanning, interventional radiology, and surgery all in the same suite. Severe trauma patients with blunt thoracic aortic injury (BTAI) require rapid diagnosis and treatment. Hybrid ERs allow the potential for clinicians to implement multiple therapeutic procedures, including thoracic endovascular aortic repair (TEVAR), for these types of conditions without the need to transport the patients. Case presentation: A 35-year-old man sustained multiple injuries after a motor vehicle accident and was transferred to our hospital in shock status. CT revealed a grade IV BTAI rupturing into the thoracic cavity and pelvic fracture. Soon after preperitoneal pelvic packing and transcatheter arterial embolization for pelvic fracture, TEVAR was performed in the hybrid ER without transporting the patient. The patient was transferred to a rehabilitation hospital on postoperative day 41. Conclusion: Hybrid ERs enable clinicians to perform all life-saving procedures, including stent grafting for traumatic patients with aortic injuries, in the same place. |
| format | Article |
| id | doaj-art-0bce3cff52604a1c8a22c27ce25636e6 |
| institution | OA Journals |
| issn | 2352-6440 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-0bce3cff52604a1c8a22c27ce25636e62025-08-20T02:31:47ZengElsevierTrauma Case Reports2352-64402025-02-015510112410.1016/j.tcr.2025.101124Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case reportMayo Kondo0Takeshi Nishimura1Saki Maemura2Shinichi Ijuin3Haruki Nakayama4Shigenari Matsuyama5Satoshi Ishihara6Corresponding author.; Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, Hyogo 651-0073, JapanBackground: Hybrid emergency rooms (ERs) allow computed tomography (CT) scanning, interventional radiology, and surgery all in the same suite. Severe trauma patients with blunt thoracic aortic injury (BTAI) require rapid diagnosis and treatment. Hybrid ERs allow the potential for clinicians to implement multiple therapeutic procedures, including thoracic endovascular aortic repair (TEVAR), for these types of conditions without the need to transport the patients. Case presentation: A 35-year-old man sustained multiple injuries after a motor vehicle accident and was transferred to our hospital in shock status. CT revealed a grade IV BTAI rupturing into the thoracic cavity and pelvic fracture. Soon after preperitoneal pelvic packing and transcatheter arterial embolization for pelvic fracture, TEVAR was performed in the hybrid ER without transporting the patient. The patient was transferred to a rehabilitation hospital on postoperative day 41. Conclusion: Hybrid ERs enable clinicians to perform all life-saving procedures, including stent grafting for traumatic patients with aortic injuries, in the same place.http://www.sciencedirect.com/science/article/pii/S2352644025000019HERBTAITEVARAortic injuryStent graft |
| spellingShingle | Mayo Kondo Takeshi Nishimura Saki Maemura Shinichi Ijuin Haruki Nakayama Shigenari Matsuyama Satoshi Ishihara Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report Trauma Case Reports HER BTAI TEVAR Aortic injury Stent graft |
| title | Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report |
| title_full | Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report |
| title_fullStr | Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report |
| title_full_unstemmed | Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report |
| title_short | Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report |
| title_sort | blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room a case report |
| topic | HER BTAI TEVAR Aortic injury Stent graft |
| url | http://www.sciencedirect.com/science/article/pii/S2352644025000019 |
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