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Blunt multifocal aortic injury with abdominal aortic intimointimal intussusception
Richa Kalsi1, Charles B Drucker1, Jose H Salazar1
1Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md.
Journal of Vascular Surgery Cases and Innovative Techniques
|March 21, 2018
Summary
Blunt trauma can cause rare abdominal aortic intussusception, often linked to spinal injuries. This case highlights successful endovascular repair of this unique aortic injury.
Area of Science:
- Traumatology
- Vascular Surgery
- Spinal Injury
Background:
- Blunt abdominal aortic injuries are rare, typically from high-impact deceleration events like motor vehicle collisions.
- Thoracic aortic injuries are more common, but spinal trauma can also affect the abdominal aorta.
- Associated spinal injuries can complicate the diagnosis and management of aortic trauma.
Observation:
- A case of multifocal blunt thoracic and abdominal aortic injury is presented.
- The patient experienced circumferential abdominal aortic dissection leading to aortoaortic intussusception.
- This rare condition was associated with a concurrent thoracolumbar spinal injury.
Findings:
- The study details the diagnostic challenges posed by nonocclusive abdominal aortic intussusception.
- Successful endovascular management of this rare aortic injury was achieved.
- The findings underscore the link between spinal trauma and complex aortic injuries.
Implications:
- This case expands understanding of rare blunt aortic injuries and their association with spinal trauma.
- It demonstrates the feasibility and success of endovascular techniques in managing complex aortic dissections and intussusceptions.
- Highlights the importance of considering aortic injury in patients with blunt trauma and spinal injuries.
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