title: Endovascular repair of an asymptomatic aortic pseudoaneurysm after penetrating injury.
abstract: Penetrating injuries to the aorta usually result in immediate life-threatening hemorrhage. Because these lesions are typically either fatal or identified and controlled surgically, chronic pseudoaneurysms after penetrating aortic trauma are rare. Most of these patients present with rupture or local complications, and management before the endovascular era has historically been open repair. As such, there are limited data to guide the modern management of an asymptomatic, posttraumatic aortic pseudoaneurysm. Here, we describe a 54-year-old man who was diagnosed with an incidental, supraceliac aortic pseudoaneurysm 14 years after an abdominal stab wound. He underwent successful and uncomplicated endovascular repair.
authors.affiliation: Division of General Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD. Electronic address: dharris@smail.umaryland.edu.
authors.forename: Donald G
authors.initials: DG
authors.lastname: Harris
authors.affiliation: R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, University of Maryland, Baltimore, MD; Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Megan L
authors.initials: ML
authors.lastname: Brenner
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Michelle
authors.initials: M
authors.lastname: Ho
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Shahab
authors.initials: S
authors.lastname: Toursavadkohi
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Lilly
authors.affiliation: Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD; Center for Aortic Diseases, University of Maryland Medical Center, Baltimore, MD.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Crawford
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000601:surgery*; D001011:Aorta / Q000293:injuries / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D058070:Asymptomatic Diseases; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000601:surgery*; D014951:Wounds, Stab / Q000175:diagnosis / Q000601:surgery*