[Post-traumatic dissection of the abdominal aorta].
Dissections due to deceleration trauma are rarely limited to the infradiaphragmal aorta (only 2-3%) and are usually lethal. Here we report the unusual course of an abdominal aortic dissection with aneurysmatic enlargement of the false lumen. Based on diagnostic imaging, a therapeutic stent application was planned in order to close the entry and to prevent rupture. During the intervention sondation of the false lumen revealed that the left renal artery had a reentry. Due to the complexity of the entry-reentry situation of the left renal artery the intervention was not possible, and the patient had to undergo vascular surgery.
Hahmann
M
M
Abteilung für Radiologische Diagnostik, Universitätsklinik Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg.
Richter
G M
GM
Schuhmacher
H
H
Allenberg
J R
JR
Kauffmann
G W
GW
D000007:Abdominal Injuries / Q000000981:diagnostic imaging*; D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging*; D001027:Aortography; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D011379:Prognosis; D012077:Renal Artery / Q000000981:diagnostic imaging; D015607:Stents; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging*