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Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report

INTRODUCTION: The false aneurysm of the aortic isthmus is, given its severity and case fatality rate, a subject of interest in vascular surgery. The interest of this article is the analysis of the different characteristics of this pathology based on the study of a case report and on a review of the...

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Autores principales: Anane, Oussama, Rezziki, Abdellah, Benzirar, Adnane, El Mahi, Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319737/
https://www.ncbi.nlm.nih.gov/pubmed/34293654
http://dx.doi.org/10.1016/j.ijscr.2021.106190
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author Anane, Oussama
Rezziki, Abdellah
Benzirar, Adnane
El Mahi, Omar
author_facet Anane, Oussama
Rezziki, Abdellah
Benzirar, Adnane
El Mahi, Omar
author_sort Anane, Oussama
collection PubMed
description INTRODUCTION: The false aneurysm of the aortic isthmus is, given its severity and case fatality rate, a subject of interest in vascular surgery. The interest of this article is the analysis of the different characteristics of this pathology based on the study of a case report and on a review of the literature. CASE REPORT: This is a 21-year-old patient admitted for the management of a severe polytrauma following a fall from a cliff, causing him paraplegia following a fracture of the dorsal spine which is objectified on the CT bodyscan, which also shows the presence of a localized dissection with ruptured false aneurysm of the isthmus. After emergency conditioning and initial neurosurgical management by vertebral osteosynthesis, the postoperative effects are aggravated by the occurrence of a bilateral massive pulmonary embolism. Thus, given the high risk of complications or death following classic thoracotomy surgery, we decided to carry out endovascular treatment by placing a covered endoprosthesis. DISCUSSION: The aortic isthmus false aneurysm is a relatively rare condition that mainly interests the young subject in an often-post-traumatic context. The surgical treatment represented by thoracotomy, which, in addition to being invasive, exposes the patient to multiple complications as disabling as each other. All of these elements explain the advantage of endovascular treatment, which is much less invasive with a better prognosis. CONCLUSION: The therapeutic management of a pseudoaneurysm of the isthmus is undergoing constant development; endoprostheses currently occupy the place of choice in the treatment of these lesions.
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spelling pubmed-83197372021-08-02 Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report Anane, Oussama Rezziki, Abdellah Benzirar, Adnane El Mahi, Omar Int J Surg Case Rep Case Report INTRODUCTION: The false aneurysm of the aortic isthmus is, given its severity and case fatality rate, a subject of interest in vascular surgery. The interest of this article is the analysis of the different characteristics of this pathology based on the study of a case report and on a review of the literature. CASE REPORT: This is a 21-year-old patient admitted for the management of a severe polytrauma following a fall from a cliff, causing him paraplegia following a fracture of the dorsal spine which is objectified on the CT bodyscan, which also shows the presence of a localized dissection with ruptured false aneurysm of the isthmus. After emergency conditioning and initial neurosurgical management by vertebral osteosynthesis, the postoperative effects are aggravated by the occurrence of a bilateral massive pulmonary embolism. Thus, given the high risk of complications or death following classic thoracotomy surgery, we decided to carry out endovascular treatment by placing a covered endoprosthesis. DISCUSSION: The aortic isthmus false aneurysm is a relatively rare condition that mainly interests the young subject in an often-post-traumatic context. The surgical treatment represented by thoracotomy, which, in addition to being invasive, exposes the patient to multiple complications as disabling as each other. All of these elements explain the advantage of endovascular treatment, which is much less invasive with a better prognosis. CONCLUSION: The therapeutic management of a pseudoaneurysm of the isthmus is undergoing constant development; endoprostheses currently occupy the place of choice in the treatment of these lesions. Elsevier 2021-07-09 /pmc/articles/PMC8319737/ /pubmed/34293654 http://dx.doi.org/10.1016/j.ijscr.2021.106190 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Anane, Oussama
Rezziki, Abdellah
Benzirar, Adnane
El Mahi, Omar
Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report
title Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report
title_full Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report
title_fullStr Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report
title_full_unstemmed Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report
title_short Endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: A case report
title_sort endovascular treatment of a ruptured post-traumatic false aneurysm of the aortic isthmus: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8319737/
https://www.ncbi.nlm.nih.gov/pubmed/34293654
http://dx.doi.org/10.1016/j.ijscr.2021.106190
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