Emergency Endovascular Treatment of a Traumatic Sub-Diaphragmatic Abdominal Aorta Rupture Caused by a Firearm

Abstract 

We report a case of a sub-diaphragmatic abdominal aorta rupture in a 50-year-old man, due to a shot at point-blank range with a firearm. Following a diagnostic thoraco-abdominal computed tomography (CT) scan, he was immediately transferred to the operating room where a Talent aortic cuff was implanted. There were no postoperative neurological sequelae or complications. The endoprosthesis was in the correct position with no evidence of migration, fracture or endoleak even after 9 months of follow-up.

Keywords: Vascular trauma, Gunshot, Endovascular treatment, Abdominal aorta, Penetrating trauma