Emergent endoluminal repair of delayed abdominal aortic rupture after blunt trauma.
OBJECTIVE
To report the emergency repair of a traumatic abdominal aortic rupture using endoluminal techniques.


RESULTS
A 25-year-old female sustained multiple head, chest, and abdominal injuries in a motorcycle accident. Six days after emergency treatment (including splenectomy and repair of a superficial hepatic rupture and lacerations to the stomach, small bowel, and colon), she became hemodynamically unstable. A massive retroperitoneal hematoma had evolved from a distal aortic rupture. Owing to a hostile abdomen and possibility of bacterial contamination, a self-expanding stent-graft was inserted transfemorally to repair the aortic injury. The patient recovered uneventfully and continues in good health with a patent endograft repair 2 years after treatment.


CONCLUSIONS
This experience would support the efficacy of endograft implantation for emergent repair of trauma aortic injuries; however, proper facilities, an experienced interventional team, and an assortment of endografts and stents must be available.
Scharrer-Pamler
R
R
Division of Thoracic and Vascular Surgery, University Hospital, University of Ulm, Germany.
Görich
J
J
Orend
K H
KH
Sokiranski
R
R
Sunder-Plassmann
L
L
D000328:Adult; D000792:Angiography; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004630:Emergencies; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D015607:Stents; D013997:Time Factors