title: Proximal aortic stent-graft displacement with type I endoleak due to Heimlich maneuver.
abstract: The Heimlich maneuver has saved countless lives by relieving foreign body obstruction from the respiratory tract. Complications related to this life-saving technique, particularly involving the abdominal aorta, are extremely rare. We report the case of a patient who underwent successful endovascular abdominal aortic aneurysm (AAA) repair, with AAA reduction at postoperative surveillance. Endograft displacement after performance of the Heimlich maneuver resulted in a proximal type I endoleak. This case underscores both the potential for aortic trauma from the Heimlich maneuver and the risk for clinical failure as a result of abdominal compression after successful endovascular AAA repair.
authors.affiliation: Section of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston VAMC (112), 2002 Holcombe Boulevard, Houston, TX 77030, USA. plin@bcm.rmc.edu
authors.forename: Peter H
authors.initials: PH
authors.lastname: Lin
authors.forename: Ruth L
authors.initials: RL
authors.lastname: Bush
authors.forename: Alan B
authors.initials: AB
authors.lastname: Lumsden
mesh_terms: D001011:Aorta / Q000293:injuries* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005392:First Aid / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D015607:Stents / Q000009:adverse effects*; D013898:Thoracic Injuries / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000209:etiology*