title: Acute aortic occlusion in a child secondary to lap-belt injury treated with thromboendarterectomy and primary repair.
abstract: Abdominal aortic injury as a result of blunt trauma is a rare event and has been described in few children. A 6-year-old girl presented with acute bilateral lower extremity ischemia, and a triad of acute aortic occlusion, intra-abdominal visceral injury, and a lumbar chance fracture after sustaining a seat belt injury from a motor vehicle collision. An emergency aortic thromboendarterectomy and primary repair were performed. This represents one of the few reports of acute traumatic aortic thrombosis in a child and highlights the surgical treatment of acute abdominal aortic injury in a pediatric patient.
authors.affiliation: Department of Surgery, Louisiana State University Health Science Center, Shreveport, LA, USA. cwest5@hfhs.org
authors.forename: Charles A
authors.initials: CA
authors.lastname: West
authors.forename: Lester W
authors.initials: LW
authors.lastname: Johnson
authors.forename: Linda
authors.initials: L
authors.lastname: Doucet
authors.forename: Mitali
authors.initials: M
authors.lastname: Shah
authors.forename: Imtiaz
authors.initials: I
authors.lastname: Khan
authors.forename: Maureen
authors.initials: M
authors.lastname: Heldmann
mesh_terms: D000063:Accidents, Traffic; D000208:Acute Disease; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D002648:Child; D004691:Endarterectomy; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology; D035002:Lower Extremity / Q000098:blood supply; D008159:Lumbar Vertebrae / Q000293:injuries; D012622:Seat Belts / Q000009:adverse effects*; D016103:Spinal Fractures / Q000209:etiology; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*