Successful endovascular management of a traumatic aortic rupture in a pediatric patient: case report and literature review.
We report herein an 11-year-old pedestrian struck by a motorcycle, who suffered subdural hematoma and aortic rupture and developed traumatic pseudoaneurysm. He was treated conservatively for the first 24 hours and submitted to stent placement occluding the aneurysm neck. There were no recurrences in the post-procedure period and the child was discharged after 21 days without sequelae. This report also reviews trauma mechanisms and management of such threatening lesions in the pediatric population.
Menini Stahlschmidt
Carla Martinez
CM
Department of General and Trauma Surgery, Cajuru University Hospital, Curutiba, Brazil. carlamenini@uol.com.br
Von Bahten
Luiz Carlos
LC
Leal Nicoluzzi
Joao Eduardo
JE
Corvello
Alexander
A
Stahlschmidt
Fabio Lucio
FL
Guimaraes
Fabiano
F
D000063:Accidents, Traffic; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods / Q000401:mortality; D002648:Child; D006408:Hematoma, Subdural / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods / Q000401:mortality; D009049:Motorcycles; D012008:Recurrence; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods / Q000401:mortality; D014949:Wounds, Nonpenetrating