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Endovascular Management of Aortic Transection in a Multiinjured Patient

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Vascular Surgery

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Abstract

A 19-year-old female was admitted to casualty following a road traffic collision. A witness of the incident reported that she was driving her car at approximately 70 km/h in wet conditions and the car skidded off the road when she turned a sharp bend. She collided with a tree and there were no other passengers involved. She was found in her severely damaged car, drowsy and restrained by her seat belt and the dashboard. The car windscreen had a “bulls-eye” on the driver’s side and she had a laceration to her forehead, which was profoundly bleeding. She complained of difficulty in breathing and pain in her chest, abdomen and obviously deformed right leg. The paramedics attended the scene with the fire-service who helped extricate her form the wreckage then carefully immobilized her cervical spine.

She was immediately transported by helicopter to the nearest emergency department. There she was treated by the duty surgical trauma team.

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Acknowledgments

We would like to thank Dr. Nicos Fotiadis (Consultant Interventional Radiologist at Barts and The London NHS Trust) who provided the images for this chapter.

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Authors and Affiliations

  1. Department of General Surgery, The Royal London Hospital, London, UK

    Shiva Dindyal

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  1. Shiva Dindyal
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  2. Constantinos Kyriakides
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Editors and Affiliations

  1. , Department of Vascular Surgery, Imperial College London, London, SW7 2AZ, United Kingdom

    George Geroulakos

  2. School of Medicine, Dept. Surgery, Yale University, New Haven, 06520-8062, Connecticut, USA

    Bauer Sumpio

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Dindyal, S., Kyriakides, C. (2010). Endovascular Management of Aortic Transection in a Multiinjured Patient. In: Geroulakos, G., Sumpio, B. (eds) Vascular Surgery. Springer, London. https://doi.org/10.1007/978-1-84996-356-5_15

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  • DOI: https://doi.org/10.1007/978-1-84996-356-5_15

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