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CardioVascular and Interventional Radiology

, Volume 22, Issue 6, pp 515–518 | Cite as

Emergency endovascular treatment of an acute traumatic rupture of the thoracic aorta complicated by a distal low-flow syndrome

  • Guy Bruninx
  • Didier Wery
  • Eric Dubois
  • Badih El Nakadi
  • Eric Van Dueren
  • Guy Verhelst
  • Christian Delcour
Case Reports

Abstract

We report the case of a patient who suffered major trauma following a motorcycle accident that resulted in multiple fractures, bilatéral hemopneumothorax, pulmonary contusions, and an isthmic rupture of the aorta with a pseudoaneurysm compressing the descending aorta. This compression was responsible for distal hypotension and low flow, leading to acute rénal insufficiency and massive rhabdomyolysis. Due to the critical clinical status of the patient, which prevented any type of open thoracic surgery, endovascular treatment was performed. An initial stent-graft permitted alleviation of the compression and the re-establishment of normal hemodynamic conditions, but its low position did not allow sufficient coverage of the rupture. A second stent-graft permitted total exclusion of the pseudoaneurysm while preserving the patency of the left subclavian artery.

Key words

Aorta Rupture Pseudoaneurysm Low flow Stent-graft 

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Copyright information

© Springer-Verlag 1999

Authors and Affiliations

  • Guy Bruninx
    • 1
  • Didier Wery
    • 1
  • Eric Dubois
    • 1
  • Badih El Nakadi
    • 1
  • Eric Van Dueren
    • 1
  • Guy Verhelst
    • 1
  • Christian Delcour
    • 1
  1. 1.Unité Vasculaire IntégréeCHU de CharleroiCharleroiBelgium

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