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

(a) Abdominal CT scan with contrast, showing contrast extravasation of the sub-diaphragmatic aortic lesion, as well as burst of the left pedicle and superior articular process of the twelfth thoracic vertebra. (b) Intraoperational aortic arteriography accessed through the right brachial artery. Observation of the aortic lesion with contrast extravasation at 2cm proximal to the exit orifice from the coeliac trunk. (c) Graphic representation of the trajectory by the gunshot's projectile.

CT scan at 9 months. Observation of the correct position of the endoprosthesis without migration, fracture, or endoleak.