title: Endovascular repair of an actively hemorrhaging gunshot injury to the abdominal aorta.
abstract: Endovascular stents have had a limited role in the management of trauma and vascular emergencies involving active hemorrhage. We describe a patient with delayed rupture of the infrarenal aorta after intra-abdominal sepsis caused the breakdown of a primary aortic repair. A stent-graft repair was performed, as concomitant injuries did not allow anterior access to the aorta. This report describes the successful endovascular repair of an actively hemorrhaging penetrating abdominal aortic injury. Endovascular approaches to aortic injuries may be valuable in settings where a hostile abdomen precludes traditional open repair.
authors.affiliation: Department of Surgery, San Francisco General Hospital, University of California San Francisco, CA 94110, USA.
authors.forename: Michael W
authors.initials: MW
authors.lastname: Yeh
authors.forename: Jan K
authors.initials: JK
authors.lastname: Horn
authors.forename: William P
authors.initials: WP
authors.lastname: Schecter
authors.forename: Timothy A M
authors.initials: TA
authors.lastname: Chuter
authors.forename: John S
authors.initials: JS
authors.lastname: Lane
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D017546:Angioscopy; D001012:Aorta, Abdominal / Q000293:injuries*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005500:Follow-Up Studies; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*