Tratamento endovascular de pseudoaneurisma de aorta tor芍cica: relato de caso Endovascular treatment of thoracic aortic pseudoaneurysm: case report

作者：Luis Carlos Mendes de Brito; Joo de Toledo Martins; Ovanil Furlani Junior; Sergio Penteado de Camargo Oliveira Junior

来源：Jornal Vascular Brasileiro, 2010.

• Pseudoaneurisma
• aorta toracica
• traumatismos toracicos
• Pseudoaneurysm
• thoracic aorta
• thoracic injuries

Paciente de 31 anos v赤tima de acidente automobil赤stico apresentou falta de ar inspirat車ria progressiva acompanhada de dor dissecante no t車rax, de forte intensidade, sem irradia o; Glasgow 15 e ISS 26 (16 + 9 + 1); exames laboratoriais e radiogr芍ficos compat赤veis com a normalidade. Foi operado de fratura de t赤bia 1 dia depois, tendo recebido alta 3 dias depois da entrada no servi o. No entanto, foi piorando da falta de ar e da dor tor芍cica, retornando para nova consulta 2 dias ap車s a alta hospitalar. Foi realizada tomografia computadorizada helicoidal que revelou pseudoaneurisma de aorta tor芍cica. Optou-se por tratamento endovascular com implante de endopr車tese. A 31-year-old car accident victim was admitted with progressive inspiratory dyspnea, followed by intense dissecting thoracic pain, without any irradiation. The patient＊s Glasgow score was 15, while his ISS was 26 (16 + 9 + 1). Laboratory and radiographic results were normal. One day after hospital admission, the patient underwent surgery due to a fractured tibia, being discharged from hospital 3 days later. However, worsening shortness of breath and thoracic pain were observed and he returned to the hospital 2 days later. A helical computed tomography was done revealing a thoracic aortic pseudoaneurysm. Endovascular surgery with endoprosthesis implantation was the treatment of choice.