Traumatic abdominal aortic pseudoaneurysm treated with balloon-expandable bifurcated endoprosthesis.
A 22-year-old man came to our institution with upper gastrointestinal bleeding and massive intra-abdominal hemorrhage. His history included an abdominal gunshot, with aortic and multiple intestinal perforations, 9 months before. At the time of the original injury, he was treated elsewhere by primary closure of the aortic laceration and multiple intestinal resections. An aortic pseudoaneurysm was revealed by means of an angiogram of the descending aorta. Conventional surgical procedures were deemed not feasible because of previous abdominal operations, so a balloon-expandable bifurcated endoprosthesis was constructed and inserted into the terminal aorta through the femoral approach, with resolution of the abdominal aortic pseudoaneurysm.
Department of Cardiovascular Surgery, Hospital Militar Central, Universidad de Buenos Aires, Argentina.
L
L
Bechara-Zamudio
G
G
Olivé
H
H
Barone
J J
JJ
Cociolo
M
M
Peirano
J
J
Daza
M
M
Benito
H
H
Hourquebie
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D002404:Catheterization / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D019233:Retreatment; D015607:Stents; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000628:therapy*