Abstract
Blunt traumatic abdominal aortic dissection is extremely rare and potentially deadly. We present the case of a 62-year-old man involved in a frontal car crash. After emergency undergoing laparotomy for bowel injuries, he was referred to our hospital due to acute ischemia of bilateral lower extremities on day 3 after the trauma. Computed tomography and aortography showed an aortobiiliac dissection with complete occlusion. This injury was successfully treated by endovascular treatment with “kissing”-technique stent placement, which appears to be a safe, effective, and minimally invasive treatment.
References
Berthet JP, Marty-Ane CH et al (2003) Dissection of the abdominal aorta in blunt trauma: endovascular or conventional surgical management? J Vasc Surg 38:997–1004
Naude GP, Back M, Perry MO et al (1997) Blunt disruption of the abdominal aorta: report of a case and review of the literature. J Vasc Surg 25:931–935
Lock JS, Huffman A, Johnson RC (1987) Blunt trauma to the abdominal aorta. J Trauma 27:674–677
Teruya TH, Bianchi C, Abou-Zamzam AM et al (2005) Endovascular treatment of a blunt traumatic abdominal aortic injury with a commercially available stent graft. Ann Vasc Surg 19:474–478
Peterson AH, Williams DM, Rodriguez JL et al (1995) Percutaneous treatment of a traumatic aortic dissection by balloon fenestration and stent placement. AJR Am J Roentgenol 164:1274–1276
Vernhet H, Marty-Ané CH, Lesnik A et al (1997) Dissection of the abdominal aorta in blunt trauma: management by percutaneous stent placement. Cardiovasc Intervent Radiol 20:473–476
Marti M, Pinilla I, Baudraxler F et al (2006) A case of acute abdominal dissection caused by blunt trauma. Emerg Radiol 12:182–185
Maleux G, Soula P, Otal P et al (1997) Traumatic aortobiiliac dissection treated by kissing stent placement. J Trauma 43:706–708
Meghoo CL, Gonzalez EA, Tyroch AH et al (2003) Complete occlusion after blunt injury to the abdominal aorta. J Trauma 55:795–799
Ginsburg R, Thorpe P, Bowles CR et al (1989) Pull-through approach to percutaneous angioplasty of totally occluded common iliac arteries. Radiology 172:111–113
Acknowledgment
This report was previously presented at a Cardiovascular and Interventional Radiological Society of Europe meeting (2011).
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The authors of this manuscript declare no conflicts of interest.
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Idoguchi, K., Yamaguchi, M., Okada, T. et al. Endovascular Treatment of Blunt Traumatic Abdominal Aortic Occlusion With Kissing Stent Placement. Cardiovasc Intervent Radiol 35, 1216–1220 (2012). https://doi.org/10.1007/s00270-011-0315-7
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DOI: https://doi.org/10.1007/s00270-011-0315-7