Brief reportEndovascular Repair of Traumatic Mesocaval Fistula
Section snippets
Case Report
A 20-year-old man was brought by paramedics to a level III trauma center after sustaining two gunshot wounds. One wound was identified in the lower sternum and the other in the left midclavicular line just below the costal margin. Abdominal sonography demonstrated free fluid and radiographic images showed a bullet fragment in the right lower quadrant. In hemodynamically unstable condition, the patient was resuscitated and transported directly to the operating room.
At laparotomy, there was
Discussion
Injuries to major vascular structures such as the IVC or SMA are often life-threatening. Traumatic abdominal AV fistulas were first described before World War II (1). Although such lesions have long been managed surgically, in the recent literature, endovascular treatment with use of stent-grafts has been described in aortocaval fistulas (2, 3) and renal AV fistulas (4). In 1999, Parodi et al (2) described permanent endovascular stent repairs of traumatic arterial injuries, including 19
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Cited by (0)
None of the authors have identified a conflict of interest.