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Date Published: 24/10/2025
Abstract Views: 23
Views PDF: 8
DOI: 10.47972/vjcts.v53i.1538
Issue
Vol. 53
Section
Research Article
How to Cite
Nguyen, H. U., Nguyen, T. S., Le, N. T., Phung, D. H. S., Pham, H. L., Hoang, T. H., Nguyen, M. T., Pham, T. Q., Nguyen, K. D., & Duong, N. T. (2025). Characteristics of blunt thoracic aorta injuries treated by hybrid procedure at Viet Duc University hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 53, 5 - 14. https://doi.org/10.47972/vjcts.v53i.1538

Characteristics of blunt thoracic aorta injuries treated by hybrid procedure at Viet Duc University hospital

Huu Uoc Nguyen, Tung Son Nguyen, Nhat Tien Le, Duy Hong Son Phung, Huu Lu Pham, Trong Hai Hoang, Minh Tri Nguyen, Tien Quan Pham, Kim Dan Nguyen, Ngoc Thang Duong1,2,
1 Hanoi Medical University
2 Viet Duc University Hospital

Main Article Content

Abstract

Objectives: Although thoracic aorta injury is rare, it may be serious with high mortality if not be immediatly treated. The study aims to describe the clinical and paraclinical characteristics of thoracic aortic injury, in order to propose optimal diagnostic and treatment options. Methods: A retrospective and prospective cross-sectional descriptive study of patients diagnosed with thoracic aortic injury and treated with hybrid procedure (open surgical and endovascular treatment combined) from January 2014 to December 2023 at Viet Duc University Hospital. Results: 16 patients were eligible to participate in the study, 68.6% of patients had combined injuries outside the chest, 18.8% of patients did not have the left subclavian artery revascularized without related complications. There was 1 patient with cervical lymphatic leakeage requiring reoperation. The technical success rate was 93.7%. Early postoperative mortality was 6.3%, not due to complications from surgery or endovascular intervention. Conclusion: Diagnosis of thoracic aortic injury is mainly based on CT aortic angiography in patients with suspicious clinical signs. Endovascular treatment of the thoracic aorta with surgical diversion of arteries supraortic is a safe and effective method with low mortality and complication rates.

Keywords

blunt thoracic aortic injuries, hybrid procedure

Article Details

References

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