Difficulties with endograft sizing in a patient with traumatic rupture of the thoracic aorta: The possible influence of hypovolemic shock

Joffrey van Prehn; Joost A. van Herwaarden; Bart E. Muhs; Adam Arnofsky; Frans L. Moll; Hence J.M. Verhagen

doi:10.1016/j.jvs.2007.12.036

Difficulties with endograft sizing in a patient with traumatic rupture of the thoracic aorta: The possible influence of hypovolemic shock

Joffrey van Prehn
, Joost A. van Herwaarden
, Bart E. Muhs
, Adam Arnofsky
, Frans L. Moll
, Hence J.M. Verhagen^*

^*Corresponding author for this work

Surgery

Utrecht University
Yale University
NORTH SHORE UNIVERSITY HOSPITAL

Research output: Contribution to journal › Article › Academic › peer-review

36 Citations (Scopus)

Abstract

A patient with traumatic thoracic injury and hypovolemic shock is presented to stress important differences in preoperative and postoperative aortic diameters. The patient had a blood pressure of 80/40 mm Hg. A diagnostic computed tomography angiography revealed a rupture of the thoracic aorta, and a thoracic endograft was sized based on these data. However, the postoperative computed tomography angiography (Riva-Rocci, 164/70 mm Hg) showed an increase in aortic diameters of about 30% at multiple levels. In this patient, with rupture of the thoracic aorta and hypovolemia, the aortic diameter was significantly decreased. This indicates that adequate preoperative sizing for endovascular repair of vascular pathology in patients in shock is complicated.

Original language	English
Pages (from-to)	1333-1336
Number of pages	4
Journal	Journal of Vascular Surgery
Volume	47
Issue number	6
DOIs	https://doi.org/10.1016/j.jvs.2007.12.036
Publication status	Published - Jun 2008

Bibliographical note

Funding Information:
Dr Verhagen and Dr Moll have received an unrestricted research grant from 3Mensio Medical Imaging B.V.

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10.1016/j.jvs.2007.12.036

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title = "Difficulties with endograft sizing in a patient with traumatic rupture of the thoracic aorta: The possible influence of hypovolemic shock",

abstract = "A patient with traumatic thoracic injury and hypovolemic shock is presented to stress important differences in preoperative and postoperative aortic diameters. The patient had a blood pressure of 80/40 mm Hg. A diagnostic computed tomography angiography revealed a rupture of the thoracic aorta, and a thoracic endograft was sized based on these data. However, the postoperative computed tomography angiography (Riva-Rocci, 164/70 mm Hg) showed an increase in aortic diameters of about 30\% at multiple levels. In this patient, with rupture of the thoracic aorta and hypovolemia, the aortic diameter was significantly decreased. This indicates that adequate preoperative sizing for endovascular repair of vascular pathology in patients in shock is complicated.",

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note = "Funding Information: Dr Verhagen and Dr Moll have received an unrestricted research grant from 3Mensio Medical Imaging B.V. ",

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AU - Muhs, Bart E.

AU - Arnofsky, Adam

AU - Moll, Frans L.

AU - Verhagen, Hence J.M.

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Difficulties with endograft sizing in a patient with traumatic rupture of the thoracic aorta: The possible influence of hypovolemic shock

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