Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion
A 73-year-old man was admitted to our hospital with a blunt thoracic aortic injury owing to a traffic accident. We diagnosed traumatic aortic dissection with visceral malperfusion requiring emergency thoracic endovascular aortic repair (TEVAR). The primary entry tear was at the bifurcation of the le...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428724002442 |
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| author | Jun Osaki, MD Junji Yunoki, MD, PhD Nagi Hayashi, MD Kouki Jinnouchi, MD Hiroyuki Morokuma, MD Manabu Itoh, MD, PhD Keiji Kamohara, MD, PhD |
| author_facet | Jun Osaki, MD Junji Yunoki, MD, PhD Nagi Hayashi, MD Kouki Jinnouchi, MD Hiroyuki Morokuma, MD Manabu Itoh, MD, PhD Keiji Kamohara, MD, PhD |
| author_sort | Jun Osaki, MD |
| collection | DOAJ |
| description | A 73-year-old man was admitted to our hospital with a blunt thoracic aortic injury owing to a traffic accident. We diagnosed traumatic aortic dissection with visceral malperfusion requiring emergency thoracic endovascular aortic repair (TEVAR). The primary entry tear was at the bifurcation of the left subclavian artery in the aortic arch. A chimney TEVAR preserved blood flow in the left common carotid artery and ensured an adequate proximal landing zone. The patient recovered and was discharged on postoperative day 16. Traumatic aortic dissection with visceral malperfusion is rare, but chimney TEVAR was useful in this case. |
| format | Article |
| id | doaj-art-fca9d26370e7409cb8e50f6db3329fd8 |
| institution | Kabale University |
| issn | 2468-4287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj-art-fca9d26370e7409cb8e50f6db3329fd82025-08-20T03:52:43ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-06-0111310166010.1016/j.jvscit.2024.101660Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusionJun Osaki, MD0Junji Yunoki, MD, PhD1Nagi Hayashi, MD2Kouki Jinnouchi, MD3Hiroyuki Morokuma, MD4Manabu Itoh, MD, PhD5Keiji Kamohara, MD, PhD6Correspondence: Jun Osaki, MD, Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga City 849-8501, Japan; Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga City, JapanDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga City, JapanDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga City, JapanDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga City, JapanDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga City, JapanDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga City, JapanDepartment of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga City, JapanA 73-year-old man was admitted to our hospital with a blunt thoracic aortic injury owing to a traffic accident. We diagnosed traumatic aortic dissection with visceral malperfusion requiring emergency thoracic endovascular aortic repair (TEVAR). The primary entry tear was at the bifurcation of the left subclavian artery in the aortic arch. A chimney TEVAR preserved blood flow in the left common carotid artery and ensured an adequate proximal landing zone. The patient recovered and was discharged on postoperative day 16. Traumatic aortic dissection with visceral malperfusion is rare, but chimney TEVAR was useful in this case.http://www.sciencedirect.com/science/article/pii/S2468428724002442Chimney techniqueMalperfusionTEVARTraumatic aortic dissection |
| spellingShingle | Jun Osaki, MD Junji Yunoki, MD, PhD Nagi Hayashi, MD Kouki Jinnouchi, MD Hiroyuki Morokuma, MD Manabu Itoh, MD, PhD Keiji Kamohara, MD, PhD Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion Journal of Vascular Surgery Cases and Innovative Techniques Chimney technique Malperfusion TEVAR Traumatic aortic dissection |
| title | Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion |
| title_full | Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion |
| title_fullStr | Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion |
| title_full_unstemmed | Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion |
| title_short | Chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion |
| title_sort | chimney thoracic endovascular aortic repair for traumatic aortic dissection with visceral malperfusion |
| topic | Chimney technique Malperfusion TEVAR Traumatic aortic dissection |
| url | http://www.sciencedirect.com/science/article/pii/S2468428724002442 |
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