Rupture post-traumatique de l’isthme aortique : perspectives modernes de prise en charge

Traumatic aortic rupture of the thoracic aorta
(usually at the isthmus) is frequently associated with concomitant
life-threatening injuries. Historically, the conventional
care consisted of surgical repair of the lesion performed as
soon as possible. However, in spite of constant technical improvements
the morbi-mortality remains high because of these
associated lesions. In addition, their management can have
priority and delay aortic surgery. The endovascular approach
has been shown to be a feasible and efficient technique and
currently represents a valuable alternative to open surgery for
patients with multiple traumas. We report a patient presenting
with a traumatic aortic rupture of the aortic isthmus, which
was successfully treated by delayed combined endovascular
(thoracic aortic stentgrafting) and open approach (hemi-aortic
arch debranching).