Post-traumatic dissection of the abdominal aorta
Hahmann, M.; Richter, G.M.; Schuhmacher, H.; Allenberg, J.R.; Kauffmann, G.W.
Der Radiologe 41(7): 590-594
2001
ISSN/ISBN: 0033-832X PMID: 11490780 Document Number: 527013
Dissections due to deceleration trauma are rarely limited to the infradiaphragmal aorta (only 2-3%) and are usually lethal. Here we report the unusual course of an abdominal aortic dissection with aneurysmatic enlargement of the false lumen. Based on diagnostic imaging, a therapeutic stent application was planned in order to close the entry and to prevent rupture. During the intervention sondation of the false lumen revealed that the left renal artery had a reentry. Due to the complexity of the entry-reentry situation of the left renal artery the intervention was not possible, and the patient had to undergo vascular surgery.