Abstract
Abdominal aortic injury as a result of blunt trauma is a rare event and has been described in few children. A 6-year-old girl presented with acute bilateral lower extremity ischemia, and a triad of acute aortic occlusion, intra-abdominal visceral injury, and a lumbar chance fracture after sustaining a seat belt injury from a motor vehicle collision. An emergency aortic thromboendarterectomy and primary repair were performed. This represents one of the few reports of acute traumatic aortic thrombosis in a child and highlights the surgical treatment of acute abdominal aortic injury in a pediatric patient.
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
MeSH terms
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Accidents, Traffic*
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Acute Disease
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Aorta, Abdominal / diagnostic imaging
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Aorta, Abdominal / injuries
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Aorta, Abdominal / surgery*
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Aortic Diseases / diagnostic imaging
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Aortic Diseases / etiology
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Aortic Diseases / surgery*
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Aortography / methods
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Arterial Occlusive Diseases / diagnostic imaging
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Arterial Occlusive Diseases / etiology
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Arterial Occlusive Diseases / surgery*
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Child
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Endarterectomy*
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Female
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Humans
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Ischemia / etiology
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Lower Extremity / blood supply
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Lumbar Vertebrae / injuries
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Seat Belts / adverse effects*
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Spinal Fractures / etiology
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Thrombosis / diagnostic imaging
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Thrombosis / etiology
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Thrombosis / surgery*
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular System Injuries / diagnostic imaging
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Vascular System Injuries / etiology
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Vascular System Injuries / surgery*