Percutaneous repair of a disrupted left renal artery after rapid stabilization.
Fortunately, acute renal artery injuries occur infrequently in blunt trauma patients. Renal salvage in the multi-trauma patient is a daunting task. If after judicious consideration, intervention is warranted, then expeditious repair should follow. Rapid control of exanguinating injuries should be accomplished and the patient stabilized for further intervention - surgical or endovascular. We present the case of a patent who presented with left pneumothorax, multiple bilateral rib, scapula, long bone fractures, hypotension, hemoperitoneum, non perfusion of the left kidney, and a shattered spleen. She underwent emergent splenectomy and stabilization of her pressure. The left renal artery was evaluated and repaired with a covered stent. This approach might be beneficial in highly selected patients with favorable physiologic and anatomical presentations.
Emory University School of Medicine, Department of Radiology, Interventional Radiology, Atlanta, GA, USA.
Irwin M
IM
Best
percutaneous renal artery repair; stent graft repair of disrupted renal artery.; traumatic disruption of renal artery