Infrarenal aortic dissection in a child after blunt trauma

被引:4
作者
Mangold, Michelle [1 ]
Chaves, Jose Mauro [2 ,4 ]
Blewett, Christopher [2 ]
Williams, Michael [3 ]
机构
[1] St Louis Univ, Dept Surg, St. Louis, MO USA
[2] SSM Hlth Cardinal Glennon Childrens Hosp, Dept Pediat Surg, St. Louis, MO USA
[3] St Louis Univ, Dept Surg, Div Vasc & Endovascular Surg, St. Louis, MO USA
[4] SSM Hlth Cardinal Glennon Childrens Hosp, Dept Pediat Sur gery, 1465 S Grand Blvd,Ste 180, St. Louis, MO 63104 USA
来源
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2022年 / 8卷 / 02期
关键词
Aortic dissection; Bucket handle bowel injury; Chance fracture; Pediatric; Seat-belt; Trauma; FRACTURE;
D O I
10.1016/j.jvscit.2022.01.002
中图分类号
R61 [外科手术学];
学科分类号
摘要
We present a 4-year-old who suffered blunt abdominal trauma leading to Chance fractures to the lumbar spine, bucket-handle injuries to the ileum and descending colon, and an aortic intimal injury leading to occlusion of the infrarenal aortawith extension to the bifurcation. Her vascular injuries were managed by endarterectomy of the intimal injury, throm-bectomy of the distal aorta and bilateral iliac arteries using a Fogarty catheter, and patch angioplasty of the infrarenalaorta using bovine pericardium secured by a combination of interrupted and running sutures to optimize elasticity andoperative time. (J Vasc Surg Cases Innov Tech 2022;8:129-31.)
引用
收藏
页码:129 / 131
页数:3
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