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Dissection of the abdominal aorta in blunt trauma: endovascular or conventional surgical management?  Jean-Philippe Berthet, MD, Charles-Henri Marty-Ané,

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Presentation on theme: "Dissection of the abdominal aorta in blunt trauma: endovascular or conventional surgical management?  Jean-Philippe Berthet, MD, Charles-Henri Marty-Ané,"— Presentation transcript:

1 Dissection of the abdominal aorta in blunt trauma: endovascular or conventional surgical management? 
Jean-Philippe Berthet, MD, Charles-Henri Marty-Ané, MD, Reuben Veerapen, MD, Eric Picard, MD, Henri Mary, MD, Pierre Alric, MD  Journal of Vascular Surgery  Volume 38, Issue 5, Pages (November 2003) DOI: /S (03)00613-X

2 Fig 1 The only patient (patient 5) who was not treated surgically had a limited juxtarenal dissection, which began immediately below the right renal artery and extended 2 cm distally on the right side of the aorta. Journal of Vascular Surgery  , DOI: ( /S (03)00613-X)

3 Fig 2 The preoperative CT scan from the sixth patient with infrarenal aortic dissection, splenic rupture, retroperitoneal hematoma, and left phrenic disruption. The immediate postoperative CT scan confirms the quality of the revascularization. Journal of Vascular Surgery  , DOI: ( /S (03)00613-X)

4 Fig 3 The sixth patient underwent a trifurcated antimicrobial InterGard Silver (diameter 18/9 mm) aortoaortic and bifemoral aortic replacement. The third and fourth lumbar arteries were revascularized by a large distal end-to-end anastomoses. Limbs of the aortic graft were attached to the femoral arteries because of bilateral external iliac artery occlusion. Journal of Vascular Surgery  , DOI: ( /S (03)00613-X)

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