Aortic injury following blunt trauma can be potentially devastating, particularly when it occurs in multiply injured patients. This injury normally occurs just distal to the left subclavian artery. Recently, stent grafting has become a mainstay in therapy. Although technical challenges certainly exist in stent grafting aortic injuries in this location, the ability to avoid all complications associated with traditional open repair make stent grafting extremely attractive. We present a case on a 41-year-old man who sustained an aortic injury just proximal to the celiac axis. We used stent grafting to treat this injury with a very favorable result.
Halkos ME, Nicholas J., Kong LS, Burke JR, Milner R.Endovascular management of blunt abdominal aortic injury. Vascular. 2006; 14(4):223-226.
3.
Katarzyna JM , Frank MC, Fishman EK, Bluemke DAPathogenesis in acute aortic syndromes: aortic aneurysm leak and rupture and traumatic aortic transection. AJR Am J Roentgenol. 2003; 181(2):303-307.
4.
Fabian TC, Richardson DJ, Croce MA, et al. Prospective study of blunt aortic injury: multicenter trial of the American Association for the Surgery of Trauma. J Trauma . 1997;42(3):374-383.
5.
Feczko J., Lynch L., Pless JE, Clark MA, McClain J., Hawley DAAn autopsy case review of 142 nonpenetrating (blunt) injuries of the aorta . J Trauma. 1992;33(6):846-849.
6.
Roth SM, Wheeler JR, Gregory RT, et al. Blunt injury of the abdominal aorta: a review. J Trauma. 1997;42(4):748-755.
7.
Michaels AJ, Gerndt SJ, Taheri PA, et al. Blunt force injury of the abdominal aorta. J Trauma. 1996;41(1):105-109.
8.
Dunham MB, Zygun D., Petrasek P., Kortbeek JB, Karmy-Jones R., Moore RDEndovascular stent grafts for acute blunt aortic injury. J Trauma. 2004;56(6):1173-1178.
9.
Ott MC, Stewart T., Lawlor DK, Gray DK, Frobes T.Management of blunt thoracic aortic injuries: endovascular stents versus open repair. J Trauma. 2004;56(3):565-570.
10.
Mirvis SE, Shanmuganathan K., Buell J., Rodriguez A.Use of spiral computed tomography for the assessment of blunt trauma patients with potential aortic injury. J Trauma. 1998 ; 45(5):922-930.
11.
Bednarkiewicz M., Khatchatourian G., Murith N., et al. Closed trauma of the abdominal aorta-current update. Swiss Surg. 1998; 5:221-224.
