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Updated: Oct 5, 2026

An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta
Published on: September 8, 2023
[Post-traumatic dissection of the abdominal aorta]
M Hahmann1, G M Richter, H Schuhmacher
1Abteilung für Radiologische Diagnostik, Universitätsklinik Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg.
Abstract:
Dissections due to deceleration trauma are rarely limited to the infradiaphragmal aorta (only 2-3%) and are usually lethal. Here we report the unusual course of an abdominal aortic dissection with aneurysmatic enlargement of the false lumen. Based on diagnostic imaging, a therapeutic stent application was planned in order to close the entry and to prevent rupture. During the intervention sondation of the false lumen revealed that the left renal artery had a reentry. Due to the complexity of the entry-reentry situation of the left renal artery the intervention was not possible, and the patient had to undergo vascular surgery.
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