Endovascular repair of traumatic aortic injury in a pediatric patient.
We present the case of a 14-year-old girl who sustained a traumatic aortic injury (TAI) after a motor vehicle collision. Due to the severity of her associated injuries, she was not a candidate for open aortic repair. Available options for endovascular repair were very limited due to the small aortic diameter (14 mm). We performed a successful endovascular repair with an off-label use of an iliac limb prosthesis (Excluder, WL Gore, Flagstaff, Ariz). This case demonstrates the utility of an iliac limb prosthesis for endovascular repair of TAI in a child as a bridge to future open conversion.
Keyhani
Kourosh
K
Department of Cardiovascular & Thoracic Surgery, University of Texas Medical School at Houston, Houston, TX 77030, USA.
Estrera
Anthony L
AL
Safi
Hazim J
HJ
Azizzadeh
Ali
A
D000063:Accidents, Traffic; D000293:Adolescent; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000293:injuries* / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007083:Iliac Artery; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000000981:diagnostic imaging / Q000601:surgery*