[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-445527-105":3,"detail-sidebar-cat-0-en-105":80,"doc-detail-445527-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","a-dual-life-saving-approach-thoracic-endovascular-aortic-repair","A dual life-saving approach: Thoracic endovascular aortic repair","","Thoracic aortic transection is a high-mortality event, typically occurring after motor vehicle accidents due to separation of the aortic layers. The report describes a 33-year-old, 8 weeks and 5 days pregnant patient (in vitro fertilization) with multi-trauma and a complete distal transection beyond the subclavian artery after a crash. Under general anesthesia and with necessary precautions, thoracic endovascular aortic repair (TEVAR) achieved successful treatment. Follow-up showed an uncomplicated, healthy delivery, highlighting TEVAR as a fast, safe critical option for life-threatening thoracic aortic transections.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/a-dual-life-saving-approach-thoracic-endovascular-aortic-repair/445527/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/a-dual-life-saving-approach-thoracic-endovascular-aortic-repair/445527.png","ImageObject",300,407,{"name":42,"@type":43},"Olivia 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necessary precautions.",{"name":69,"@type":60,"acceptedAnswer":70},"What was the pregnancy-related outcome after TEVAR?",{"text":71,"@type":63},"The patient had no problems during follow-up and delivered a healthy baby, supporting the report’s conclusion that TEVAR can be a fast and safe critical treatment option in this setting.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},445527,1790981043,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & 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life-saving approach: Thoracic endovascular aortic repair  \nAynı anda iki hayat kurtaran yaklaşım: Torasik endovasküler aort tamiri Kaptanıderya Tayfur1􀀬, Elif Keleş Tayfur2􀀬  \n1Department of Cardiovascular Surgery, Ordu University Training and Research Hospital, Ordu, Türkiye 2Department of Gynecology and Obstetrics, Ordu University Training and Research Hospital, Ordu, Türkiye  \nABSTRACT  \nThoracic aortic transection is a high mortality event which usually occurs after motor vehicle accidents and is caused by separation of the aortic layers. In this article, we present a 33-year-old, 8 weeks and 5 days pregnant by in vitro fertilization, multi-trauma patient with thoracic aortic transection after a motor vehicle accident. The patient with a complete transection distal to the subclavian artery was successfully treated with thoracic endovascular aortic repair method under general anesthesia, taking all necessary precautions. The patient had a healthy delivery with no problems in follow-up visits. Not one, but two lives were saved with thoracic endovascular aortic repair. In conclusion, this report emphasizes that thoracic endovascular aortic repair is a fast and safe critical treatment method in the treatment of life-threatening aortic transections.  \nKeywords: Aorta, endovascular treatment, transection.  \nTraumatic thoracic aortic injuries account for onethird of motor vehicle accident deaths and are the second most common cause of trauma-related death. Between 80 and 85% of patients die before reaching the hospital and 50% of those who reach the hospital die within 24 h. [1] Since these patients usually have multitrauma, there are no clinical findings specific to aortic injury, mostly retrosternal and interscapular persistent pain. Survival of patients with traumatic aortic injury depends on early diagnosis and prompt and effective treatment. [2] Stent repair of the damaged portion of the thoracic aorta, namely thoracic endovascular aortic repair (TEVAR), has recently become the current treatment of choice. The effect of radiation exposure during pregnancy depends on the gestational age of the fetus. Between two and seven weeks of gestation is  \nÖZ  \nTorakal aort transeksiyonu genellikle motorlu taşıt kazaları sonrası gelişen ve aort katmanlarının ayrılmasıyla oluşan mortalitesi yüksek bir hadisedir. Bu yazıda 33 yaşında, tüpbebek yöntemi ile 8 hafta 5 günlük gebeliği olan, araç içikaza sonrası torakal aort transeksiyonu tespit edilen multi travmalı bir olgu sunuldu. Subklavyen arterin distalinde tam transeksiyonu olan hasta genel anestezi altında, gerekli tüm önlemler alınarak torasik endovasküler aort tamiri yöntemi ile başarıyla tedavi edildi. Takip vizitlerinde sorun olmayan hastasağlıkla doğumunu yaptı . Torasik endovasküler aort tamiritedavisi ile bir değil iki hayat kurtulmuş oldu. Sonuç olarak, bu rapor, yaşamı tehdit eden aort transeksiyonlarının tedavisinde torasik endovasküler aort tamirinin hızlı ve güvenli kritik bir tedavi yöntemi olduğunu vurgulamaktadır.  \nAnahtar sözcükler: Aort, endovasküler tedavi, transeksiyon.  \nthe most radiation-sensitive period for the fetus. Fetal radiation exposure from angiography and fluoroscopy should only be performed in clinical emergencies. [3]  \nIn this article, we present a case of thoracic aortic transection after a car accident who was 8 weeks and 5 days pregnant by in vitro fertilization and was successfully treated with TEVAR.  \nCASE REPORT  \nA 33-year-old female patient who was two months pregnant with no previous medical problems was transferred to the Emergency Department (ED) after a severe vehicular traffic accident. On physical examination, subarachnoid hemorrhage in the left frontal region, right inferior and superior pubic ramus  \nCorresponding author: Kaptanıderya Tayfur.  \nE-mail: [drkdtayfur61@hotmail.com](drkdtayfur61@hotmail.com)  \n[Doi: 10.5606/tgk","cbCaiqHJd7KDhOY8","https://ap.wps.com/l/cbCaiqHJd7KDhOY8","pdf",480751,"English","# Abstract\n# Keywords\n# Case report\n## Initial presentation and imaging\n## Treatment and outcome\n# Discussion and conclusion","[{\"question\":\"Why is traumatic thoracic aortic transection associated with high mortality?\",\"answer\":\"It is described as a high-mortality event usually occurring after motor vehicle accidents, caused by separation of the aortic layers, with many patients dying before reaching the hospital or within 24 hours.\"},{\"question\":\"How was the pregnant patient treated after the accident?\",\"answer\":\"After thoracic CT showed a near complete distal left subclavian artery transection, the patient was rapidly transferred and treated under general anesthesia with thoracic endovascular aortic repair (TEVAR) using necessary precautions.\"},{\"question\":\"What was the pregnancy-related outcome after TEVAR?\",\"answer\":\"The patient had no problems during follow-up and delivered a healthy baby, supporting the report’s conclusion that TEVAR can be a fast and safe critical treatment option in this setting.\"}]","A dual life-saving approach: Thoracic endovascular aortic repair | PDF",1790712333]