Traumatic aorta injuries in a rural area: late manifestations and review of therapeutic aspects.

Autor:	Dos Reis JMC; Centro Universitário Metropolitano da Amazônia - UNIFAMAZ, Belém, PA, Brasil.; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil., Ribeiro FRCM; Centro Universitário Metropolitano da Amazônia - UNIFAMAZ, Belém, PA, Brasil.; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil., Koury A; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil., Melo GDS; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil., de Oliveira MV; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil., Gomes VHGA; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil., Dos Santos JVF; Centro Universitário Metropolitano da Amazônia - UNIFAMAZ, Belém, PA, Brasil.; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil., Sarquis SG; Hospital de Clínicas Gaspar Vianna - HCGV, Belém, PA, Brasil.
Jazyk:	angličtina
Zdroj:	Jornal vascular brasileiro [J Vasc Bras] 2023 May 12; Vol. 22, pp. e20220014. Date of Electronic Publication: 2023 May 12 (Print Publication: 2023).
DOI:	10.1590/1677-5449.202200142
Abstrakt:	Traumatic thoracic aortic injuries (TTAI) are associated with high rates of morbidity and mortality. They are classified according to the extent of damage and computed tomography angiography has the highest sensitivity and specificity for identifying the degree of injury and potential associated lesions. Treatment strategies for TTAI are based on the type and extent of injury and associated lesions. The patient's degree of stability can also help to define the choice of treatment, which can be conventional or endovascular surgery (EVAR) or even conservative management in selected cases. Among patients with adequate vascular anatomy, endovascular surgery is associated with better survival and fewer risks. The objective of this article is to describe a series of four cases followed up at a tertiary service in a Brazilian state that has few centers that provide high complexity care. Endovascular therapy was employed as the preferred method. All four patients had favorable outcomes, with no complications up to discharge, and are currently in outpatient follow-up. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article. (Copyright© 2023 The authors.)
Databáze:	MEDLINE
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