title: Endovascular management of blunt abdominal aortic injury.
abstract: The endovascular management of blunt aortic injuries is being used more frequently in the trauma patient. Traumatic aortic injuries usually occur in the descending thoracic aorta near the origin of the left subclavian artery. Many reports in the literature demonstrate the efficacy of endovascular repair of blunt thoracic aortic injury. We report here an unusual case of abdominal aortic dissection secondary to blunt abdominal trauma following a fall. The patient also had associated intra-abdominal injuries requiring bowel resection and repair of small bowel mesenteric lacerations. He was treated with a bifurcated abdominal endograft with an excellent result after the initial operation was performed to treat the bowel injuries.
authors.affiliation: Division of Vascular Surgery, Joseph B. Whitehead Department of Surgery, Emory University Hospital and Grady Memorial Hospital, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Michael E
authors.initials: ME
authors.lastname: Halkos
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Nicholas
authors.forename: Li Sheng
authors.initials: LS
authors.lastname: Kong
authors.forename: J Ryan
authors.initials: JR
authors.lastname: Burke
authors.forename: Ross
authors.initials: R
authors.lastname: Milner
mesh_terms: D000058:Accidental Falls; D017130:Angioplasty / Q000379:methods*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007421:Intestine, Small / Q000293:injuries / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000601:surgery*