کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8653583 1574181 2018 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Management and Evolution of a Wallstent Migration in a Pediatric Blunt Traumatic Abdominal Aortic Injury
ترجمه فارسی عنوان
مدیریت و تکامل یک مهاجرت در یک آسیب آئورت شکمی تروماتیک
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
Blunt traumatic abdominal aortic injury in children is a rare but a severe condition. The clinical manifestation often involves other intra-abdominal visceral injuries and vertebral fractures. The best therapeutic management is still unclear with few reported endovascular cases treated. The following is the case of a 13-year-old male with an aortic abdominal dissection, spleen laceration, jejunal contusion, and hemoperitoneum after a motor vehicle collision. An endovascular approach was decided upon after the progression of the intimal aortic tear. A self-expanding stent was implanted into the injured position with an immediate proximal migration to the visceral aorta. It was decided not to retrieve the stent because of added comorbidity, and an open repair of the dissection was performed using a graft bypass. The patient has completed a 6-year image surveillance without complications or growth alterations. To our knowledge, this is the first reported childhood case of an intraoperative stent migration during the endovascular treatment of a blunt traumatic abdominal aortic injury. The possible cause of the complication and the management of these kinds of injuries are reviewed in detail in this article.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Vascular Surgery - Volume 47, February 2018, Pages 281.e15-281.e19
نویسندگان
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