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Letters to the Editor

Apologia for change in management of blunt rupture of the thoracic aorta

Borki Vucetic^a,_*, Narcis Hudorovi^b, Ivo Lovricevic^b

^a Department of Thoracic Surgery, University Hospital "Sestre milosrdnice", Zagreb, Croatia
^b Department of Endo and Vascular Surgery, University Hospital "Sestre milosrdnice", Zagreb, Croatia

Received 6 February 2008; accepted 30 April 2008.

^_* Corresponding author. Address: University Department of Surgery, University Hospital ‘Sestre milosrdnice’, 10000, Vinogradska 29, Zagreb, Croatia. Tel.: +385 1 37 87 404; fax: +385 1 38 62 292. (Email: borki.vucetic@zg.htnet.hr).

Key Words: Traumatic aortic rupture • Endovascular repair • Asymptomatic patients

The first 20% of the full text of this article appears below.

The article by Buz and associates [1] calls attention to the possibility of an endovascular treatment of traumatic aortic rupture.

This policy may have a strong impact on mortality and morbidity rates that are usually very high in this condition, considering a conventional surgical approach. The obtained results [30-day mortality rate in conventional surgical group 20% (7 of 35), vs endovascular group 7.7% (3 of 39); complication rate (28.5% vs 3%); and survival rate (75% vs 86.4–81.6%)] were due to severely compromised clinical status preoperatively, and it seems fair to assume that conventional surgery would have much higher risk or would . . . [Full Text of this Article]