Management of traumatic aortic injuries:a single-center experience
Objective To observe the short-and long-term treatment outcomes of traumatic aortic injuries(TAI).Methods A retrospective analysis was performed on 12 TAI cases managed in the Department of Cardio-vascular Surgery,Daping Hospital,Army Medical University,from Feb.2013 to Jan.2023.Among them,there were 11 males and 1 female aged 27-80(mean 51.7)years.The injury causes were road traffic accidents in 8 cases,im-pact in 2,and falls from height in 2.The classification,characteristics and treatment strategies of TAI,treatment of multiple injuries,and short-and long-term outcomes of patients were collected and analyzed.Results In this case series of TAI,there were 2 Stanford type A aortic dissection,8 Stanford type B,and 2 Stanford Non-A/B.Among them,66.7％(8/12)underwent aortic surgery,including 5 emergency and 3 selective surgeries:respectively 3 open surgeries under cardiopulmonary bypass,4 thoracic endovascular aortic repair(TEVAR),and 1 hybrid surgery.The other 4 cases had non-surgical treatment.The 3 patients with open surgeries and the patient with hybrid surgery sur-vived and recovered well.As for the 4 patients with TEVAR,1 had severe multiple injuries and died during hospital-ization.The 4 non-surgically treated patients survived to discharge.Patients were followed up for 14-123(mean 45.9)months.Up to the last follow-up in June 2023,1 patient with TEVAR was lost to follow-up,and the remaining 10 patients were all alive without any new aortic events.Conclusion Early identification of TAI,comprehensive evaluation of TAI and associated injuries,personalized treatment plans,and appropriate intervention or surgical strat-egies are the keys to successful management of such patients.
万方数据
维普
