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Endovascular treatment of an acute subdiaphragmatic aortic rupture
Sylvain Rubin1, Olivier N Pages, Anne Poncet
1CHU Reims, Hôpital Robert Debré, Service de Chirurgie Thoracique et Cardio-Vasculaire, Reims, France. srubin@chu-reims.fr
Abstract:
We report the case of a 23-year-old man presenting an acute rupture of the subdiaphragmatic aorta in front of a T12 vertebral fracture after a road accident. Because of the location of this lesion, the operative risk and a cardiac instability, we opted for an endovascular treatment with a new and original approach in covering a small part of the aorta using commercial devices. We also describe the probable mechanism of this uncommon aortic rupture. The surgical outcome was uneventful and the 3 month computed tomographic scan confirmed the complete exclusion of the aortic disruption.
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