title: Endovascular treatment of an acute subdiaphragmatic aortic rupture.
abstract: We report the case of a 23-year-old man presenting an acute rupture of the subdiaphragmatic aorta in front of a T12 vertebral fracture after a road accident. Because of the location of this lesion, the operative risk and a cardiac instability, we opted for an endovascular treatment with a new and original approach in covering a small part of the aorta using commercial devices. We also describe the probable mechanism of this uncommon aortic rupture. The surgical outcome was uneventful and the 3 month computed tomographic scan confirmed the complete exclusion of the aortic disruption.
authors.affiliation: CHU Reims, Hôpital Robert Debré, Service de Chirurgie Thoracique et Cardio-Vasculaire, Reims, France. srubin@chu-reims.fr
authors.forename: Sylvain
authors.initials: S
authors.lastname: Rubin
authors.forename: Olivier N
authors.initials: ON
authors.lastname: Pages
authors.forename: Anne
authors.initials: A
authors.lastname: Poncet
authors.forename: Bernard
authors.initials: B
authors.lastname: Baehrel
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D016103:Spinal Fractures / Q000150:complications*; D013904:Thoracic Vertebrae