Richa Kalsi, MD, Charles B. Drucker, MD, Jose H. Salazar, MD, Lauren I

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Presentation transcript:

Blunt multifocal aortic injury with abdominal aortic intimointimal intussusception Richa Kalsi, MD, Charles B. Drucker, MD, Jose H. Salazar, MD, Lauren I. Luther, BS, Jose J. Diaz, MD, CNS, FACS, FCCM, Rishi Kundi, MD, FACS Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 1, Pages 37-40 (March 2018) DOI: 10.1016/j.jvscit.2017.11.007 Copyright © 2018 Terms and Conditions

Fig 1 A-C, Three views of a three-dimensional reconstruction of the aortic injury, highlighting the drop-off in aortic diameter and extensive bone spinal injuries (anterior dislocation of the T12 vertebral body, T12-L1 bilateral facet fractures and dislocation, and L2-L3 transverse process fractures). D, Sagittal view of computed tomography angiography (CTA) image used to construct the three-dimensional figures demonstrating the intimointimal defect. E and F, Zoomed in axial views of the circumferential dissection. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 37-40DOI: (10.1016/j.jvscit.2017.11.007) Copyright © 2018 Terms and Conditions

Fig 2 A, The intraoperative angiogram obtained before graft deployment demonstrates the abrupt infrarenal diminution in aortic diameter seen in Fig 1, A-C. B, Completion angiogram demonstrating improvement in aortic diameter after graft deployment. C, Sagittal view from computed tomography angiography (CTA) of the chest done 1 month after injury and repair. The inferiormost extent of this study demonstrates the superiormost aspect of the abdominal endograft with continued exclusion of dissection. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 37-40DOI: (10.1016/j.jvscit.2017.11.007) Copyright © 2018 Terms and Conditions