1Khawaja Bilal Waheed, 1Hassan Rezwan Mohammed

1King Fahad Military Medical Complex, Dhahran, Saudi Arabia

Background:

To highlight patterns of blunt thoracic aortic injuries and role of TEVAR.

Material(s) and Method(s):

A retrospective study was performed in radiology department at our Hospital in Dhahran including all RTA patients with documented thoracic aortic injuries and subsequent endovascular managements between Jan. 2007 to 2020. Patients with penetrating injuries or those died before any intervention were excluded. Patterns of injuries were defined by location/ site of involement and as per De Bakey/ Standford classifications. Type of stents used and follow up imaging were followed. Passenger information (driver, front seat passenger, rear seat passenger) and seat belt details were recorded. Chi square test was used to determine any association.

Result(s):

Thoracic aortic injuries were seen 17/134 with blunt chest injuries. 12/17 patients (70.5%) were having aortic isthmic injuries. Most of these patients were unrestrained drivers (P-value, 0.005). Endovascular stenting was found successful in all of these patients.

Conclusion(s):

Timely endovascular management for blunt thoracic aortic injuries is crucial for patients’ lives and long term management.