[Treatment of traumatic XXXX of the thoracic aorta].

@entity1 @entity548 @entity397 @entity20736 @entity451 @entity130
INTRODUCTION: Interest for traumatic thoracic aorta @entity397 stems from the fact that its number continually increases, and it can be rapidly lethal. OBJECTIVE: The aim of this study is to present early and long term results as well as experiences of our team in surgical treatment of traumatic thoracic aorta @entity397 . METHOD: Our retrospective study includes 12 @entity1 with traumatic thoracic aorta @entity397 treated between 1985 and 2007.There were 10 male and two female @entity1 of average age 30.75 years (18-74). RESULTS: In six cases, primary diagnosis was established during the first seven days days after @entity130 , while in 6 more than one month later. In 11 cases, classical open surgical procedure was performed, while endovascular treatment was used in one @entity1 . Three (25%) @entity1 died, while two (16.6%) had @entity451 . Nine patinets (75%) were trated without complications, and are in good condition after a mean follow-up period of 9.7 years (from one month to 22 years). CONCLUSION: Surgical treatment requires spinal cord protection to prevent @entity451 , using cardiopulmonary by-pass (three of our cases) or external heparin-bonded shunts (five of our cases). Cardiopulmonary by-pass is followed with lower incidence of @entity451 , however it is not such a good solution for @entity1 with polytrauma because of @entity548 . The endovascular repair is a safe and feasible procedure in the acute phase, especilly because of @entity20736 and polytrauma which contributes to higher mortality rate after open surgery. On the other hand, in chronic postrauamatic aortic @entity397 , open surgical treatment is connected with a lower mortality rate and good long-term results. There have been no published data about long-term results of endovascular treatment in the chronic phase.
