title: Endovascular management of a penetrating abdominal aortic injury.
abstract: Penetrating aortic trauma is associated with high mortality rates. We report the case of a 24-year-old man who presented with a self-inflicted abdominal aortic penetration injury, resulting in a pseudoaneurysm. Rather uniquely, he was managed through prophylactic stenting to his abdominal aorta; this case was also rare in that there were remarkably no associated visceral injuries. Stenting was preferred because of risks of an aortic graft in a young man. A 14-mm Atrium Advanta™ stent was deployed, and angiography confirmed adequate exclusion of the pseudoaneurysm. He had no complications at follow-up.
authors.affiliation: Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, NE3 4JQ, UK.
authors.forename: Christopher G
authors.initials: CG
authors.lastname: Ghazala
authors.affiliation: Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, NE3 4JQ, UK.
authors.forename: Barnabas R
authors.initials: BR
authors.lastname: Green
authors.affiliation: Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, NE3 4JQ, UK.
authors.forename: Robin
authors.initials: R
authors.lastname: Williams
authors.affiliation: Northern Vascular Centre, Freeman Hospital, Newcastle upon Tyne, NE3 4JQ, UK. Electronic address: mike.wyatt@nuth.nhs.uk.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Wyatt
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014951:Wounds, Stab / Q000000981:diagnostic imaging / Q000601:surgery*; D055815:Young Adult