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Updated: Nov 18, 2025
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Endovascular stenting of blunt aortic isthmus rupture in a 5-year-old child
Raymond N Haddad1, Margaux Pontailler2, Laureline Berteloot3,4
1Pediatric and Congenital Cardiology Department, Necker-Enfants Malades University Hospital, AP-HP, Paris, France.
Insights
This study details a rare pediatric aortic tear in a 5-year-old boy. Endovascular stenting successfully treated the life-threatening injury, demonstrating a viable treatment option.
Area of Science:
- Pediatric Traumatology
- Cardiovascular Surgery
- Medical Imaging
Background:
- Blunt traumatic aortic tears are exceptionally rare and life-threatening in children.
- Percutaneous repair in pediatric patients presents significant challenges due to anatomical constraints.
Observation:
- A 5-year-old boy sustained a grade 3 aortic isthmus disruption after a fall.
- A follow-up CT scan revealed pseudoaneurysm growth and active bleeding.
Findings:
- Endovascular covered stenting was successfully performed in a pediatric patient.
- The procedure was safe, efficient, and yielded positive outcomes for the child.
Implications:
- This case highlights the potential of endovascular stenting for pediatric traumatic aortic injuries.
- It suggests a feasible alternative to open repair in select pediatric cases.
- Further research into percutaneous repair for pediatric aortic trauma is warranted.
Abstract:
Blunt traumatic aortic tear is an extremely rare and life-threatening paediatric emergency. Percutaneous repair is highly debateable in children due to anatomic limitations. Herein, we report an important case of a 5-year-old boy diagnosed with grade 3 aortic isthmus disruption following fifth-floor defenestration. The 96-h control computerized tomography (CT) scan showed an increase in the pseudoaneurysm size with small active bleeding motivating endovascular covered stenting that was safely and efficiently performed with good outcomes.
