Vascular and endovascular surgery
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Vasc Endovascular Surg · Jul 2003
Case ReportsIsolated abdominal aortic rupture in a child due to all-terrain vehicle accident--a case report.
Rupture of the abdominal aorta as the result of blunt trauma is uncommon, due in part to its protected position in the retroperitoneum. Isolated aortic rupture following blunt injury is even more rare. A case of isolated abdominal aortic rupture in a 6-year-old girl following blunt trauma due to an all-terrain vehicle accident is reported. The girl survived following an emergent aortoiliac reconstruction.
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Vasc Endovascular Surg · Jul 2003
Case ReportsEndovascular treatment of innominate artery stenosis in a bovine aortic arch--a case report.
Recent reports have established the feasibility and safety of percutaneous transluminal angioplasty and stent placement in the treatment of innominate artery occlusive disease. Although the long-term durability of these endovascular approaches has not been clearly established, they are particularly attractive in patients who are not considered good candidates for surgical reconstruction. The authors present a case involving a morbidly obese Hispanic woman who had undergone previous coronary artery bypass and complained of right visual symptoms, dizziness, and right upper extremity claudication. Because of her unusual bovine anatomy and the desire to avoid reoperating in her chest, a unique approach with a left subclavian-to-carotid bypass and innominate artery angioplasty and stenting was used.