Document Detail

Endovascular repair of traumatic aortic pseudoaneurysm with associated celiacomesenteric trunk.
MedLine Citation:
PMID:  15683266     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report stent-graft repair of a traumatic aortic pseudoaneurysm in proximity to a celiacomesenteric trunk. CASE REPORT: An 18-year-old woman suffered a large gunshot wound to the right flank. At laparotomy, only a large, nonexpanding right retroperitoneal hematoma was found, which was thought to represent significant penetrating trauma to the kidney mass. The patient was monitored in the intensive care unit. One week later, computed tomography revealed a partially infarcted right kidney and a 2.3-cm supraceliac aortic pseudoaneurysm, with adjacent bullet fragments. An angiogram confirmed the pseudoaneurysm and showed it to be 7 mm from the celiacomesenteric trunk. Endovascular repair was undertaken with a 16 x 55-mm AneuRx stent-graft, which was successfully placed across the aortic pseudoaneurysm without covering the celiacomesenteric trunk. Imaging at 12 months revealed no endoleak and full pseudoaneurysm exclusion. CONCLUSIONS: This operative approach is appropriate for the individual patient who has suitable anatomy and a clinical course that requires immediate repair of an aortic injury to prevent further complications and delays in ancillary treatments.
Tej M Singh; Raymund Hung; Edward Lebowitz; Agnes Wallbom; Debbie Shaver; Jaime Soria; Christopher K Zarins
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  12     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-01     Completed Date:  2005-05-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  138-41     Citation Subset:  IM    
Division of Vascular and Endovascular Surgery, Sant Clara Valley Medicl Center, San Jose, CA 95128, USA.
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MeSH Terms
Abdominal Injuries / complications
Aneurysm, False / etiology,  radiography,  surgery*
Aortic Aneurysm, Abdominal / etiology,  radiography,  surgery*
Arteriovenous Malformations / radiography*
Blood Vessel Prosthesis Implantation / methods*
Follow-Up Studies
Injury Severity Score
Mesenteric Arteries / abnormalities
Mesenteric Veins / abnormalities
Risk Assessment
Treatment Outcome
Wounds, Gunshot / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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