Endovascular Repair of an Actively Hemorrhaging Stab Wound Injury to the Abdominal Aorta |
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Authors: | Qasim Hussain Geert Maleux Sam Heye Inge Fourneau |
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Institution: | (1) Department of Radiology, University Hospitals Leuven, Leuven, Belgium;(2) Department of Radiology, University Hospitals Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium;(3) Department of Vascular Surgery, University Hospitals Leuven, Leuven, Belgium |
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Abstract: | Traumatic injury of the abdominal aorta is rare and potentially lethal (Yeh et al., J Vasc Surg 42(5):1007–1009, 2005; Chicos
et al., Chirurgia (Bucur) 102(2):237–240, 2007) as it can result in major retroperitoneal hemorrhage, requiring an urgent
open surgery. In case of concomitant bowel injury or other conditions of hostile abdomen, endovascular repair can be an alternative
treatment. This case report deals with a 50-year-old man presenting at the emergency ward with three stab wounds: two in the
abdomen and one in the chest. During explorative laparotomy, liver laceration and bowel perforation were repaired. One day
later, abdominal CT-scan revealed an additional retroperitoneal hematoma associated with an aortic pseudoaneurysm, located
anteriorly 3 cm above the aortic bifurcation. Because of the risk of graft infection, an endovascular repair of the aortic
injury using a Gore excluder stent-graft was performed. Radiological and clinical follow-up revealed a gradual shrinkage of
the pseudo-aneurysm and no sign of graft infection at two years' follow-up. |
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Keywords: | Trauma Aorta Stent-graft |
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