Occult Aortic Injury after Penetrating Abdominal Trauma

2007 ◽  
Vol 73 (3) ◽  
pp. 239-242
Author(s):  
John Sonfield ◽  
Jacob Robison ◽  
Stuart M. Leon
Keyword(s):  
Unusual Case ◽  
Primary Repair ◽  
Aortic Injury ◽  
Initial Attempt ◽  
Penetrating Abdominal Trauma ◽  
Stent Grafting ◽  
Abdominal Aortic ◽  
Extremity Trauma ◽  
Early Imaging ◽  
Aortic Trauma

Although pseudoaneurysms after penetrating extremity trauma are well described, we describe an unusual case of residual occult aortic injury after an initial attempt at repair that was recognized on postoperative imaging. Reoperation with primary resection and end-to-end repair was accomplished successfully. Because this entity is so unusual, we review strategies to avoid and recognize its occurrence. Early imaging allows early identification of aortic pseudoaneurysms should they occur, and will preclude delayed manifestation of complications, including death. Our case illustrates the utility of such postoperative scanning. Other alternatives to primary repair or interposition grafting in management of penetrating abdominal aortic trauma, such as interventional stent grafting, are discussed.

Isolated Abdominal Injury of Blunt Aortic Trauma

2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Barak Raguan ◽  
Ali Shnaker ◽  
Simone Fajer
Keyword(s):  
Abdominal Aorta ◽  
Endovascular Repair ◽  
Open Repair ◽  
Rare Event ◽  
Aortic Injury ◽  
Abdominal Injury ◽  
Blunt Injury ◽  
Abdominal Injuries ◽  
Abdominal Aortic ◽  
Aortic Trauma

Background: Injury to the abdominal aorta as part of a blunt injury is a rare event and is normally associated with other abdominal injuries. The management of these injuries can be non-operative, open repair or endovascular repair. Methods: We present two cases of blunt abdominal aortic injury in which the aorta was the only abdominal injury. This is followed by a review of the current literature. Results: Both these cases were treated endovascularly with good results. Conclusions: BAAIs are rare, and can occur in isolation, i.e. without any accompanying abdominal injuries. Despite historically being treated mostly by open repair, endovascular repair offers many advantages and can be safely managed.

scholarly journals Isolated blunt abdominal aortic injury without concomitant abdominal injuries treated with endovascular stent grafting

2015 ◽  
Vol 1 (4) ◽  
pp. 258-260
Author(s):  
Monica N. Khattak ◽  
Eric V. Olivero ◽  
Michael A. Curi ◽  
Ajay K. Dhadwal ◽  
Frank T. Padberg ◽  
...  
Keyword(s):  
Aortic Injury ◽  
Endovascular Stent ◽  
Abdominal Injuries ◽  
Stent Grafting ◽  
Endovascular Stent Grafting ◽  
Abdominal Aortic

Endovascular Management Of Blunt Abdominal Aortic Injury

Vascular ◽  
2006 ◽  
Vol 14 (4) ◽  
pp. 223-226 ◽  
Author(s):  
Michael E. Halkos ◽  
Jeffrey Nicholas ◽  
Li Sheng Kong ◽  
J.Ryan Burke ◽  
Ross Milner
Keyword(s):  
Unusual Case ◽  
Bowel Resection ◽  
Left Subclavian Artery ◽  
Excellent Result ◽  
Aortic Injury ◽  
Endovascular Management ◽  
Abdominal Aortic ◽  
Thoracic Aortic Injury ◽  
Aortic Injuries ◽  
Abdominal Aortic Dissection

The endovascular management of blunt aortic injuries is being used more frequently in the trauma patient. Traumatic aortic injuries usually occur in the descending thoracic aorta near the origin of the left subclavian artery. Many reports in the literature demonstrate the efficacy of endovascular repair of blunt thoracic aortic injury. We report here an unusual case of abdominal aortic dissection secondary to blunt abdominal trauma following a fall. The patient also had associated intra-abdominal injuries requiring bowel resection and repair of small bowel mesenteric lacerations. He was treated with a bifurcated abdominal endograft with an excellent result after the initial operation was performed to treat the bowel injuries.

Use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a bridge to endovascular aortic repair (EVAR) in blunt abdominal aortic injury (BAAI).

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Valentina Chiarini
Keyword(s):  
Trauma Center ◽  
Aortic Rupture ◽  
Damage Control ◽  
Aortic Injury ◽  
Balloon Occlusion ◽  
Traumatic Lesion ◽  
Abdominal Aortic ◽  
Aortic Injuries ◽  
Accepted Practice ◽  
Endovascular Balloon Occlusion

BAAI is a rare but challenging traumatic lesion. Since BAAI is difficult to suspect and diagnose, frequently lethal and associated to multiorgan injuries, its management is objective of research and discussion. REBOA is an accepted practice in ruptured abdominal aortic aneurysm. Conversely, blunt aortic injuries are the currently most cited contraindications for the use of REBOA in trauma, together with thoracic lesions. We reported a case of BAAI safely managed in our Trauma Center at Maggiore Hospital in Bologna (Italy) utilizing REBOA as a bridge to endovascular repair, since there were no imminent indications for laparotomy. Despite formal contraindication to placing REBOA in aortic rupture, we hypothesized that this approach could be feasible and relatively safe when introduced in a resuscitative damage control protocol.

scholarly journals Endovascular Repair of a Blunt Abdominal Aortic Injury

2012 ◽  
Vol 21 (02) ◽  
pp. 117-120 ◽  
Author(s):  
William Tobler ◽  
Tze-Woei Tan ◽  
Alik Farber
Keyword(s):  
Endovascular Repair ◽  
Aortic Injury ◽  
Abdominal Aortic

CT features of blunt abdominal aortic injury: an infrequent but life-threatening event

2021 ◽  
Author(s):  
Eva Prado ◽  
Elena M. Chamorro ◽  
Alejandro Marín ◽  
Carlos G. Fuentes ◽  
Zhao Chen Zhou
Keyword(s):  
Aortic Injury ◽  
Abdominal Aortic ◽  
Life Threatening ◽  
Life Threatening Event ◽  
Ct Features

scholarly journals Abdominal aortic injury due to lumbar disc surgery: A case report

2014 ◽  
Vol 29 (4) ◽  
pp. 192-196 ◽  
Author(s):  
Ramazan Yildiz ◽  
Muharrem Oztas ◽  
Mehmet Ali Sahin ◽  
Gokhan Yagci
Keyword(s):  
Case Report ◽  
Lumbar Disc ◽  
Aortic Injury ◽  
Lumbar Disc Surgery ◽  
Disc Surgery ◽  
Abdominal Aortic

scholarly journals An unusual case of pheochromocytoma and unruptured abdominal aortic aneurism in a male Yorkshire terrier

2017 ◽  
Vol 86 (2) ◽  
pp. 99-104
Author(s):  
B. Á. Rodrigues ◽  
Q. G. Grangeiro ◽  
C. Scaranto ◽  
G. Konradt ◽  
M. V. Bianchi ◽  
...  
Keyword(s):  
Unusual Case ◽  
Watery Diarrhea ◽  
Post Mortem ◽  
Left Adrenal Gland ◽  
Aortic Aneurism ◽  
Abdominal Aortic ◽  
Abdominal Aortic Aneurism ◽  
Unusual Occurrence ◽  
Sudden Blindness ◽  
Yorkshire Terrier

A six-year-old, male Yorkshire terrier was presented with acute vomiting, anorexia, depression, watery diarrhea and sudden blindness. On the basis of a transabdominal ultrasonographic examination, the presence of a prominent aortic aneurysm was established. The aneurysm of the aorta was confirmed at post-mortem examination. Unexpectedly, a pheochromocytoma of the left adrenal gland was found to be involved with the aneurysm. In this case report, the unusual occurrence of a large, unruptured abdominal aortic aneurism (AAA) concurrent with a pheochromocytoma in a male Yorkshire terrier dog is discussed.

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