Endovascular stenting of blunt aortic isthmus rupture in a 5-year-old child

Author:

Haddad Raymond N1,Pontailler Margaux2,Berteloot Laureline34,Malekzadeh-Milani Sophie1

Affiliation:

1. Pediatric and Congenital Cardiology Department, Necker–Enfants Malades University Hospital, AP-HP, Paris, France

2. Pediatric Cardiac Surgery Department, Necker–Enfants Malades University Hospital, AP-HP, Paris, France

3. Pediatric Radiology Department, Necker–Enfants Malades University Hospital, AP-HP, Paris, France

4. INSERM U1163, Institut Imagine, Paris, France

Abstract

Abstract Blunt traumatic aortic tear is an extremely rare and life-threatening paediatric emergency. Percutaneous repair is highly debateable in children due to anatomic limitations. Herein, we report an important case of a 5-year-old boy diagnosed with grade 3 aortic isthmus disruption following fifth-floor defenestration. The 96-h control computerized tomography (CT) scan showed an increase in the pseudoaneurysm size with small active bleeding motivating endovascular covered stenting that was safely and efficiently performed with good outcomes.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,General Medicine,Surgery

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