Acute aortic occlusion in a child secondary to lap-belt injury treated with thromboendarterectomy and primary repair

Abdominal aortic injury as a result of blunt trauma is a rare event and has been described in few children. A 6-year-old girl presented with acute bilateral lower extremity ischemia, and a triad of acute aortic occlusion, intra-abdominal visceral injury, and a lumbar chance fracture after sustaining...

Full description

Saved in:
Bibliographic Details
Published in:Journal of vascular surgery 2011-08, Vol.54 (2), p.515-518
Main Authors: West, Charles A., MD, Johnson, Lester W., MD, Doucet, Linda, RN, Shah, Mitali, MD, Khan, Imtiaz, MD, Heldmann, Maureen, MD
Format: Article
Language:English
Subjects:
Accidents, Traffic
Acute Disease
Aorta, Abdominal - diagnostic imaging
Aorta, Abdominal - injuries
Aorta, Abdominal - surgery
Aortic Diseases - diagnostic imaging
Aortic Diseases - etiology
Aortic Diseases - surgery
Aortography - methods
Arterial Occlusive Diseases - diagnostic imaging
Arterial Occlusive Diseases - etiology
Arterial Occlusive Diseases - surgery
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Child
Diseases of the aorta
Endarterectomy
Female
Humans
Ischemia - etiology
Lower Extremity - blood supply
Lumbar Vertebrae - injuries
Medical sciences
Seat Belts - adverse effects
Spinal Fractures - etiology
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Thrombosis - diagnostic imaging
Thrombosis - etiology
Thrombosis - surgery
Tomography, X-Ray Computed
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
Vascular System Injuries - diagnostic imaging
Vascular System Injuries - etiology
Vascular System Injuries - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abdominal aortic injury as a result of blunt trauma is a rare event and has been described in few children. A 6-year-old girl presented with acute bilateral lower extremity ischemia, and a triad of acute aortic occlusion, intra-abdominal visceral injury, and a lumbar chance fracture after sustaining a seat belt injury from a motor vehicle collision. An emergency aortic thromboendarterectomy and primary repair were performed. This represents one of the few reports of acute traumatic aortic thrombosis in a child and highlights the surgical treatment of acute abdominal aortic injury in a pediatric patient.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2010.12.031