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Acute aortic occlusion in a child secondary to lap-belt injury treated with thromboendarterectomy and primary repair  Charles A. West, MD, Lester W. Johnson,

Published byGerald Phelps Modified over 5 years ago

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Presentation on theme: "Acute aortic occlusion in a child secondary to lap-belt injury treated with thromboendarterectomy and primary repair  Charles A. West, MD, Lester W. Johnson,"— Presentation transcript:

1 Acute aortic occlusion in a child secondary to lap-belt injury treated with thromboendarterectomy and primary repair  Charles A. West, MD, Lester W. Johnson, MD, Linda Doucet, RN, Mitali Shah, MD, Imtiaz Khan, MD, Maureen Heldmann, MD  Journal of Vascular Surgery  Volume 54, Issue 2, Pages (August 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A computed tomography angiography demonstrates on the saggital image an L3-level acute aortic occlusion beneath the inferior mesenteric artery (IMA) origin, arrows, and an adjacent coronal image of the abdominal aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 This is the original illustration from the first description of acute aortic occlusion secondary to seat belt injury by Dajee,8 which demonstrates a circumferential tear of the intima with dissection and prolapse of the inner aortic layers, resulting in complete occlusion of the lumen. (Figure reproduced with permission from Surgery, Volume 85, Dajee H, Richardson IW, Iype MO, Seat belt aorta: Acute dissection and thrombosis of the abdominal aorta, , ©Copyright Elsevier 1979.) Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Lateral lumbar X-ray images demonstrate (left) the transverse lumber fracture at L3 (Chance fracture, arrows) and (right) fracture fixation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

5 Fig 4 A computed tomography reconstruction 2 years after the repair demonstrates an intact aortic bifurcation free of delayed stenosis or aneurysmal degeneration.11 Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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