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Pan African Medical Journal

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Endovascular treatment of acute aortic isthmian ruptures: case study

Mohamed Rida Ajaja, Amine Cheikh, El Mehdi Moutaouekkil, Mohcine Madani, Moha Arji, Amine El Hassani, Brahim Lakhal, Anas Slaoui

Abstract


Traumatic rupture of the aortic isthmus is a rare lesion occurring in patients subjected to violent deceleration. Because of the forces involved, it is frequently associated with concomitant life-threatening injuries. The endovascular intervention has been described to be a feasible and efficient technique which may be proposed as a therapeutic option for patients with multiple traumas instead of delayed classical surgical repair after stabilization. We report the case of an adult who has had an accident with a traumatic rupture of the aortic isthmus associated with other lesions, our patient received endovascular treatment. The aortic prosthesis was imported from France and the surgery was done 3 days after the patient's admission. This procedure was performed for the first time in Morocco in our hospital with a multidisciplinary team. The prosthesis was implemented successfully and the result was very satisfactory on the heart level.

Keywords: Endovascular treatment, aortic isthmian ruptures, endovascular prosthesis




http://dx.doi.org/10.11604/pamj.2017.28.217.7531
AJOL African Journals Online