Department of Radiology and Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan.
Cardiovasc Intervent Radiol. 2012 Oct;35(5):1216-20. doi: 10.1007/s00270-011-0315-7. Epub 2011 Dec 9.
Blunt traumatic abdominal aortic dissection is extremely rare and potentially deadly. We present the case of a 62-year-old man involved in a frontal car crash. After emergency undergoing laparotomy for bowel injuries, he was referred to our hospital due to acute ischemia of bilateral lower extremities on day 3 after the trauma. Computed tomography and aortography showed an aortobiiliac dissection with complete occlusion. This injury was successfully treated by endovascular treatment with "kissing"-technique stent placement, which appears to be a safe, effective, and minimally invasive treatment.
钝性创伤性腹主动脉夹层极为罕见,但可能致命。我们报告了一例 62 岁男性因正面车祸导致的病例。患者因肠损伤行紧急剖腹手术后,于创伤后第 3 天因双侧下肢急性缺血转入我院。计算机断层扫描和主动脉造影显示主动脉骼动脉夹层伴完全闭塞。该损伤通过“亲吻”技术支架置入的血管内治疗成功治愈,这似乎是一种安全、有效和微创的治疗方法。