%0 Case Reports
%T Urgent retrograde two-stage hybrid repair of a complicated blunt traumatic aortic injury.
%A Zhang HW
%A Huang Y
%A Yang P
%A Li KD
%A Hu J
%J J Vasc Surg
%V 70
%N 5
%D 11 2019
%M 31521399
%F 4.86
%R 10.1016/j.jvs.2018.12.046
%X Blunt traumatic aortic injury (BTAI) is a rare but life-threatening emergency that is usually caused by sudden acceleration/deceleration injuries in vehicular accidents. We describe our initial experience of a retrograde two-stage hybrid treatment approach for the emergent management of a 63-year-old motorcyclist who presented with a complicated BTAI with malperfusion syndrome. To our best knowledge, this uncommon BTAI case with fatal distal malperfusion saved by an urgent retrograde two-stage hybrid procedure has been reported rarely. This early reperfusion strategy with two-stage retrograde endovascular technique could be an effective and life-saving treatment option for polytrauma patients with suitable aortic anatomy.