Citation

Petrucci O, de Oliveira PP, Martins AS, Vieira RW. Interact. Cardiovasc. Thorac Surg. 2008; 7(3): 529-530.

Affiliation

Cardiac Surgery Unit, Department of Surgery, School of Medical Sciences, State University of Campinas, Rua Alexander Fleming, 181, Cidade Universitária Zeferino Vaz, 13083-970, Campinas, São Paulo, Brazil. orlandopetrucci@gmail.com

Copyright

(Copyright © 2008, European Association for Cardio-Thoracic Surgery)

DOI

10.1510/icvts.2007.172304

PMID

18303039

Abstract

A 24-year-old male patient was the victim of a firearm wound that penetrated the thorax. He arrived at another hospital hemodynamically unstable and was submitted to exploratory surgery by means of bithoracotomy. A lesion of the left branch of the pulmonary artery was detected and successfully repaired. He was submitted for computer-aided tomography on the fifth postoperative day, and a lesion of the mid-thoracic aorta was detected, which formed a saccular image. Considering that the patient had already been submitted to a bithoracotomy and that a direct approach to repair would involve another thoracotomy within a short period of time, endovascular treatment was chosen in our hospital. The procedure was performed under fluoroscopy. A second computer-aided tomography indicated adequate treatment of the lesion, with no indication of an endoleak. He has undergone ambulatory follow-up for 36 months without any problem related to the procedure. While endovascular treatment of the aorta has developed enormously, multicenter studies are needed to better define the long-term results of this approach.

Language: en