Aortic Injury From High-Speed Deceleration Against a Lap Belt in a 10-year-Old.

Autor: Vines K; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Ward M; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Butts C; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Capasso T; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Bright A; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Lee YL; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Polite N; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Kinnard C; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Simmons J; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Maltese C; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Williams A; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA., Mbaka M; Division of Trauma, Acute Care Surgery, and Burns, Department of Surgery, University Hospital, University of South Alabama, Mobile, AL, USA.
Jazyk: angličtina
Zdroj: The American surgeon [Am Surg] 2023 Aug; Vol. 89 (8), pp. 3554-3556. Date of Electronic Publication: 2023 Mar 09.
DOI: 10.1177/00031348231161670
Abstrakt: Traumatic aortic injuries in children and adolescents are rare, and even more rare are blunt traumatic injury to the abdominal aorta in this population. Therefore, there are few reports discussing the presentation and repair of such injuries, especially within the pediatric population. We report the successful repair of traumatic abdominal aortic transection in a 10-year-old female after a high speed MVC. She arrived in extremis with a seatbelt sign and was taken emergently for damage control laparotomy with subsequent postoperative CT findings of aortic transection/dissection at L3 with active extravasation. She immediately underwent open thrombectomy of the bilateral iliac arteries, and repair of her aortic injury with a 12 × 7 mm Hemashield interposition graft extending just distal to the IMA and 1 cm proximal to the aortic bifurcation. There are little data regarding long-term outcomes of pediatric patients undergoing different aortic repair techniques, and further research is needed.
Databáze: MEDLINE
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