Copyright © 2004 by the European Society of Cardiology.
Clinical research
Endoluminal stent–graft placement for acute rupture of the descending thoracic aorta
a Department of Medicine/Cardiology, Clinical and Interventional Angiology, University of Leipzig – Heart Centre, Strümpellstr. 39, 04289 Leipzig, Germany
b Centre for Cardiology and Vascular Intervention, Germany
c Department of Cardiovascular Surgery, University of Leipzig –Heart Centre Strümpellstr. 39, 04289 Leipzig, Germany
d Department of Radiology, University of Leipzig – Heart Centre Strümpellstr. 39, 04289 Leipzig, Germany
Received November 20, 2003;
revised February 9, 2004;
accepted February 19, 2004
* Corresponding author. Tel.: +49-341-8651458; fax: +49-341-8651488
E-mail address: dierk.scheinert{at}gmx.de
Aims To investigate the results of endovascular stent–graft placement for the treatment of acute perforating lesions of the descending thoracic aorta.
Methods and results A total of 31 consecutive patients underwent interventional treatment for perforating lesions of the descending aorta. In 21 cases (group A), the aortic perforation was due to rupture of a descending thoracic aneurysm or dissection, whereas 10 patients (group B) were treated for traumatic transection of the descending aorta. A total of 42 endoprostheses were implanted.
The implantation procedure was successful in all cases without peri-interventional complications. In one case, implantation of a second endoprosthesis became necessary due to type I endoleak. Overall, the 30-day mortality was 9.7%. As all three deaths occurred in group A, the mortality rate in this group was 14.3% versus 0% in group B. Similarly, postinterventional complications were more prevalent, with 28.6% in group A (renal failure 
; stroke 
) versus 10.0% in group B (renal failure 
). No paraplegia and no further deaths or ruptures occurred during follow-up (mean 17 months).
Conclusion Interventional stent–graft placement is an effective treatment option for the emergency repair of descending aortic perforations.
Key Words: Aneurysm • Aorta • Stents • Mortality
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