Huh Up, Lee Chung Won, Kim Seon Hee, Park Chan Ik, Chung Sung Woon, Song Seunghwan, Kim Chang Won
Department of Thoracic and Cardiovascular Surgery, Pusan National University School of Medicine, Biomedical Research Institute, Pusan National University Hospital, 179 Gudeok-Ro, Seo-Gu, Busan, 49241, Republic of Korea.
Department of Trauma Surgery, Pusan National University Trauma Center, Busan, Republic of Korea.
Cardiovasc Intervent Radiol. 2018 Jun;41(6):972-975. doi: 10.1007/s00270-018-1926-z. Epub 2018 Mar 15.
Blunt abdominal aortic injury (BAAI) is extremely rare. Three known treatments of BAAI exist: medical treatment, conventional surgical treatment, and endovascular treatment. Outcomes of medical and conventional surgical treatments, such as bypass graft, thrombectomy, and intimal suture, were not satisfactory. A 47-year-old man presented with multiple injuries after a high-speed vehicular accident. He was diagnosed with the traumatic aortic injury to be an intra-mural hematoma in the bifurcation of the terminal aorta. Endovascular repair with a kissing stent was performed after exploratory laparotomy. At 12 months postoperatively, the kissing stents were patent and intact, and there was no late complication. The findings indicate that the kissing stent could be useful for the treatment of BAAI in the terminal aorta.
钝性腹主动脉损伤（BAAI）极为罕见。已知BAAI有三种治疗方法：药物治疗、传统手术治疗和血管内治疗。药物治疗和传统手术治疗的结果，如旁路移植、血栓切除术和内膜缝合，并不理想。一名47岁男性在高速车祸后出现多处损伤。他被诊断为创伤性主动脉损伤，为终末主动脉分叉处壁内血肿。在剖腹探查术后进行了带吻合法支架的血管内修复。术后12个月，吻合法支架通畅且完整，无晚期并发症。这些发现表明，吻合法支架可能对终末主动脉BAAI的治疗有用。
