Thoracic endovascular aortic repair

Case contributed by Daniel Hyeong Seok Kim


History of traumatic thoracic aortic injury presenting with chest pain.

Patient Data

Age: 30 years
Gender: Male

An aortic stent graft is seen in appropriate position place in this patient with Stanford Type B dissection.

Minimal left lung base fibro-atelectasis. No discrete focal pneumonia, effusion, or pneumothorax.

The heart and central pulmonary vascularity are mildly exaggerated most likely due to portable technique and slightly low lung volumes.

No acute osseous findings. The upper abdomen appears normal.

Case Discussion

Thoracic endovascular aortic repair allows for a minimally invasive method for management of aortic injuries. It is indicated for thoracic aneurysm or dissection complicated by rupture or malperfusion in patients with inadequate response to medical therapy. The tear is covered by a stent graft which allows re-expansion of the vessel lumen and return of perfusion.

This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Radiologist,
Olive View - UCLA Medical Center.

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