Traumatic aortic dissection and coronary fistula treated with transcatheter management.
An adolescent male presented with a dissection of the thoracic aorta and a left anterior descending coronary artery to right ventricular fistula following a road traffic accident. Authors report the management of this patient using a transcatheter approach for both these arterial issues, with stenting to the thoracic aorta and coil embolization of the coronary artery to right ventricular fistula as a staged procedure, along with a brief review of the literature on traumatic arterial injuries.
Williams
Paul D
PD
Manchester Heart Centre, Manchester Royal Infirmary, Manchester, United Kingdom.
Mahadevan
Vaikom S
VS
Clarke
Bernard
B
D000063:Accidents, Traffic; D000293:Adolescent; D000784:Aortic Dissection / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006328:Cardiac Catheterization; D003324:Coronary Artery Disease / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D004452:Echocardiography; D004621:Embolization, Therapeutic; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D015607:Stents; D013898:Thoracic Injuries / Q000150:complications* / Q000473:pathology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016157:Vascular Fistula / Q000209:etiology / Q000473:pathology / Q000628:therapy*