학술논문

Direct site endovascular repair as salvage procedure after anastomotic breakdown of primary repair following trauma.
Document Type
article
Source
Journal of Vascular Surgery Cases and Innovative Techniques. 5(4)
Subject
DSER
Direct site endovascular repair
Stent graft
Vascular trauma
Language
Abstract
A 16-year-old boy presented to a level I trauma center after multiple gun shot wounds and a motorcycle crash. He was in profound hemorrhagic shock and had multiple traumatic injuries, including a right common iliac arterial injury. The vessel was shunted for damage control and subsequently repaired primarily. On hospital day 18, he experienced dehiscence of the anastomosis requiring urgent surgery. The artery was ultimately repaired with an expandable polytetrafluoroethylene stent graft deployed in an open fashion through the site of injury. We discuss the use of stent grafts as an interesting alternative to suture repair after anastomotic disruption.