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Ann Thorac Surg 2006;82:2276-2278
© 2006 The Society of Thoracic Surgeons

Case Reports

Endovascular Treatment of an Acute Subdiaphragmatic Aortic Rupture

Sylvain Rubin, MD*, Olivier N. Pages, MD, Anne Poncet, MD, Bernard Baehrel, MD, PhD

CHU Reims, Hôpital Robert Debré, Service de Chirurgie Thoracique et Cardio-Vasculaire, Reims, France

Accepted for publication March 28, 2006.

* Address correspondence to Dr Rubin, Hôpital Robert Debré, Service de chirurgie Cardio-Vasculaire, Avenue du général Koenig, Reims, Cedex 51092, France. (Email: srubin{at}chu-reims.fr).

We report the case of a 23-year-old man presenting an acute rupture of the subdiaphragmatic aorta in front of a T12 vertebral fracture after a road accident. Because of the location of this lesion, the operative risk and a cardiac instability, we opted for an endovascular treatment with a new and original approach in covering a small part of the aorta using commercial devices. We also describe the probable mechanism of this uncommon aortic rupture. The surgical outcome was uneventful and the 3 month computed tomographic scan confirmed the complete exclusion of the aortic disruption.






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Copyright © 2006 by The Society of Thoracic Surgeons.