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Intravascular stenting of traumatic abdominal aortic dissection
C H Marty-Ané1, P Alric, M Prudhomme
1Service de Chirurgie Thoracique et Vasculaire, Hôpital Arnaud de Villeneuve, Centre Hospitalier Universitaire, Montpellier, France.
Journal of Vascular Surgery
|January 1, 1996
Summary
Blunt abdominal trauma can cause aortic dissection. Endovascular stenting successfully treated a patient
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Interventional Radiology
Background:
- Blunt abdominal trauma can lead to complex injuries, including aortic dissection.
- Management of traumatic aortic injuries requires prompt and effective intervention.
Observation:
- A 34-year-old male presented with blunt abdominal trauma.
- Initial CT scan revealed retroperitoneal hematoma, pancreatic contusion, spinal fractures, and infrarenal aortic dissection.
Findings:
- Angiography confirmed aortic dissection extending from the inferior mesenteric artery to the left common iliac artery.
- Endovascular stenting with Schneider Wall Stents successfully treated the aortic dissection.
- Post-procedure imaging showed obliteration of the false lumen and complete resolution of the dissection within a week.
Implications:
- Endovascular stenting offers a minimally invasive alternative to open surgery for traumatic aortic dissection.
- This approach avoids the need for laparotomy and major aortic reconstruction.
- Successful stenting highlights the potential for improved patient outcomes in complex trauma cases.