Evidence map›Paper›PMID 42745983›Full record

ArticleFrontiers in cardiovascular medicine2026

Emergency endovascular repair of blunt thoracic aortic injury-related pseudoaneurysm using a castor single-branched stent graft: a case report and literature review.

Yisong Wang, Haoyu Liu, Tonghe Zhang, Mingxuan Mao, Hongwei Zhang, Bo Chen, Xiaolin Tian, Yankui Li

Abstract readCase Reports
In one paragraph

Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yisong Wang *Department of Vascular Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China.
Haoyu Liu *Department of Vascular Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China.
Tonghe ZhangDepartment of Vascular Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China.
Mingxuan MaoDepartment of Vascular Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China.
Hongwei ZhangDepartment of Vascular Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China.
Bo ChenDepartment of Vascular Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China.
Xiaolin TianDepartment of Rehabilitation Medicine, The Second Hospital of Tianjin Medical University, Tianjin, China.
Yankui LiDepartment of Vascular Surgery, The Second Hospital of Tianjin Medical University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Blunt thoracic aortic injury (BTAI) is a severe traumatic condition caused by sudden deceleration and is associated with high mortality. When a complete aortic rupture does not occur, a thoracic aortic pseudoaneurysm (TAP) may develop, carrying a substantial risk of rupture and death. Thoracic endovascular aortic repair (TEVAR) has become the primary treatment modality for BTAI; however, its management remains challenging in patients with lesions adjacent to the left subclavian artery (LSA) and an insufficient proximal landing zone. Case report: A 38-year-old woman was admitted to the emergency department with precordial and shoulder-back pain that persisted for 2 h following a motor vehicle accident. Computed tomography angiography (CTA) revealed a pseudoaneurysm in the aortic isthmus accompanied by bilateral pleural effusion. Dynamic clinical observations demonstrated persistent pain, a progressive increase in pleural effusion volume, and a gradual decline in hemoglobin levels, suggesting unstable grade III BTAI with a high risk of rupture. Because the distance between the pseudoaneurysm entry tear and the LSA origin was less than 10 mm and the distance between the left common carotid artery (LCCA) and the LSA was approximately 7 mm, conventional TEVAR was unlikely to provide an adequate proximal landing zone. Emergency endovascular repair using a Castor single-branched stent-graft system was performed under general anesthesia. Intraoperative angiography demonstrated complete exclusion of the pseudoaneurysm, with preserved blood flow in the LSA and supra-aortic branch vessels. The postoperative course was uneventful. At the 3-year follow-up, CTA demonstrated satisfactory stent positioning without evidence of endoleak, stent migration, or branch occlusion as well as favorable aortic remodeling without recurrent visualization of the pseudoaneurysm. This case suggests that the Castor single-branched stent-graft may be a minimally invasive treatment option for patients with blunt thoracic aortic injury-related pseudoaneurysm involving or adjacent to the left subclavian artery, although further studies are required to confirm its safety and efficacy.

Indexed as

arteryblunt thoracic aortic injuryemergencystent graftthoracic aortic pseudoaneurysm

Identifiers

PMID42745983
PMCPMC13574790

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