Kalsi Richa, Drucker Charles B, Salazar Jose H, Luther Lauren I, Diaz Jose J, Kundi Rishi
Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md.
R. Adams Cowley Shock Trauma Center, Baltimore, Md.
J Vasc Surg Cases Innov Tech. 2018 Feb 24;4(1):37-40. doi: 10.1016/j.jvscit.2017.11.007. eCollection 2018 Mar.
Blunt abdominal aortic injury is an infrequent occurrence after blunt trauma. The majority of these injuries result from deceleration forces sustained in motor vehicle collisions. Effects of these forces on the thoracic aorta are well described, but associated spinal compression or distraction can also lead to injury of the affixed abdominal aorta. We present a case of multifocal blunt thoracic and abdominal aortic injury with circumferential abdominal aortic dissection, resulting in aortoaortic intussusception associated with a thoracolumbar spinal injury. The unique diagnostic challenge and subsequent successful endovascular management of a rare nonocclusive abdominal aortic intussusception are herein discussed.
钝性腹主动脉损伤在钝性创伤后并不常见。这些损伤大多源于机动车碰撞时承受的减速力。这些力对胸主动脉的影响已有充分描述，但相关的脊柱压迫或牵张也可导致附着的腹主动脉损伤。我们报告一例多灶性钝性胸主动脉和腹主动脉损伤伴腹主动脉环形夹层，导致主动脉-主动脉套叠并伴有胸腰椎脊柱损伤。本文讨论了罕见的非闭塞性腹主动脉套叠独特的诊断挑战及随后成功的血管内治疗。
