Manejo híbrido del trauma de arco aórtico

Aortic trauma is the second cause of death due to blund trauma. We present a patient who underwent a hybrid approach given the characteristics, location, and anatomical characteristics of the lesion, with excellent results. A 31-year-old male patient was admitted with a 15-day of blunt trauma due to a fall from a paraglider (15 meters). Initial care revealed an open fracture of the left lower limb managed with an external tutor, hemothorax and bilateral pneumothorax, managed with a closed thoracostomy. Images were taken according to trauma protocols, showing grade III aortic injury. Hybrid repair was decided, debranching from the ascending aorta towards the brachiocephalic trunk and the left common carotid artery, with subsequent endovascular repair aortic endoprosthesis for coverage from zone zero to zone four of Ishimaru with zenith Cook dissection endovascular system (cook Medical InC., Bloomington, In, USA), uncomplicated procedures.