GKD Anest Yoð Bak Dern Derg. 2021; 27(3): 226-229 | DOI: 10.5222/GKDAD.2021.44711

Throracic Aortic Dissection Concomitant Multitrauma: A Case Report

Iþýl Deringöz¹, Ýsmet Topçu¹, Ýlknur Bahar Baþkavas¹, Tülün Öztürk¹, Güvenir Okçu^2
1Department of Anesthesiology and Reanimation, Celal Bayar University Hafsa Sultan Hospital, Manisa,Turkey
²Department of Orthopedy and Traumatology, Celal Bayar University Hafsa Sultan Hospital, Manisa,Turkey

Aortic injuries are seen in the isthmus part of the aorta at a rate of 90-95% after blunt trauma to the thorax. Post-traumatic lesions in the aorta; simple contusion, intramural hematoma, dissection due to rupture or pseudoaneurysm. In most of the patients, pain in the anterior chest wall, back pain, dyspnea, cough, hoarseness, hypotension, maladaptive pulse, shock, coma may be seen, while approximately of them are asymptomatic and / or overshadowed by other symptoms associated with multitrauma. These injuries are caused by acceleration and deceleration mechanisms in the aorta. In treatment, endovascular repair is a good alternative to open surgery. In our case; We aimed to present our approach to thoracic aortic dissection and endovascular intervention in a 34-year-old multitrauma patient who was brought to our emergency department after a fall from a height of approximately 10 meters. Keywords; Aortic dissection, traumatic aortic injury, endovascular intervention, TEVAR (thoracic endovasculer aort repair)

Keywords: Keywords, Aortic dissection, traumatic aortic injury, endovascular intervention, TEVAR (thoracic endovasculer aort repair)

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Multitravmaya Eþlik Eden Torasik Aort ID Diseksiyonu: Olgu Sunumu

Iþýl Deringöz¹, Ýsmet Topçu¹, Ýlknur Bahar Baþkavas¹, Tülün Öztürk¹, Güvenir Okçu^2
1Celal Bayar Üniversitesi Hafsa Sultan Hastanesi, Anesteziyoloji ve Reanimasyon Anabilim Dalý, Manisa
²Celal Bayar Üniversitesi Hafsa Sultan Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalý, Manisa

Toraksýn künt travmalarý sonrasý %90-95 oranýnda aortun istmus bölümünde aort yaralanmalarý görülmektedir. Travma sonrasý aortada meydana gelen lezyonlar; basit kontüzyon, intramural hematom, rüptüre baðlý diseksiyon veya psödoanevrizma þeklindedir. Hastalarýn çoðunda göðüs ön duvarýnda aðrý, sýrt aðrýsý, dispne, öksürük, ses kýsýklýðý, hipotansiyon, uyumsuz nabýz, þok, koma görülebilirken yaklaþýk ¼’ü asemptomatik ve/veya multitravmayla iliþkili diðer semptomlar tarafýndan gölgelenmiþ durumdadýr. Bu yaralanmalara aortadaki akselerasyon ve deselerasyon mekanizmalarý neden olmaktadýr. Tedavide ise endovasküler onarým, açýk cerrahiye göre iyi bir alternatiftir. Olgumuzda; yaklaþýk 10 metre yükseklikten düþme sonucu acil servisimize getirilen 34 yaþýndaki multitravma hastasýndaki torasik aort diseksiyonuna yaklaþýmýmýzý ve yapýlan endovasküler giriþimi sunmayý amaçladýk.
Anahtar kelimeler; Aort diseksiyonu, travmatik aort yaralanmasý, endovasküler giriþim, TEVAR (torasik endovasküler aort tamiri)

Anahtar Kelimeler: , Aort diseksiyonu, travmatik aort yaralanmasý, endovasküler giriþim, TEVAR (torasik endovasküler aort tamiri)

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