Endovascular treatment of traumatic renal artery pseudoaneurysm with a Stanford type A intramural haematoma:A case report  

作　　者：Yook Kim Jin Young Lee Jin Suk Lee Jin Bong Ye Se Heon Kim Young Hoon Sul Su Young Yoon Jung Hee Choi Hanlim Choi 

机构地区：[1]Department of Radiology,Chungbuk National University Hospital,Cheongju-si 28644,Chungcheongbuk-do,South Korea [2]Department of Trauma Surgery,Chungbuk National University Hospital,Cheongju-si 28644,Chungcheongbuk-do,South Korea [3]Department of Trauma Surgery,College of Medicine,Chungbuk National University,Cheongju-si 28644,Chungcheongbuk-do,South Korea [4]Cardiovascular and Thoracic Surgery,Chungbuk National University Hospital,Cheongju-si 28644,Chungcheongbuk-do,South Korea [5]Anesthesiology and Pain Medicine,Chungbuk National University Hospital,Cheongju-si 28644,Chungcheongbuk-do,South Korea [6]Department of Surgery,Chungbuk National University Hospital,Cheongju-si 28644,Chungcheongbuk-do,South Korea

出　　处：《World Journal of Clinical Cases》2022年第27期9760-9767,共8页世界临床病例杂志

摘　　要：BACKGROUND Aortic intramural hematoma(IMH) associated with aortic branch tear and intramurally located pseudoaneurysm after blunt trauma has not been reported.Here,we report a case of progressive type A aortic IMH associated with a pseudoaneurysm arising from the injured proximal renal artery after blunt trauma.CASE SUMMARY During logging operations,a 66-year-old man experienced blunt force trauma after being injured by a fallen tree.He arrived at our trauma center with a left flank pain complaint.Computed tomography(CT) revealed a pseudoaneurysm arising from the proximal renal artery(localized within the aortic media) and Stanford type A IMH.A covered stent was deployed along the left main renal artery,bridging the pseudoaneurysm and covering the parent artery,successfully excluding the pseudoaneurysm as confirmed using aortography.However,although the degree of the pseudoaneurysm decreased,follow-up CT revealed remnant pseudoaneurysm,likely caused by an endoleak.Subsequently,a covered stent was additionally installed through the previously deployed covered stent.Successful exclusion of the pseudoaneurysm was confirmed using final aortography.In the 7-mo follow-up CT scan,the IMH and pseudoaneurysm completely disappeared with no evidence of stent-related complications.CONCLUSION Endovascular treatment such as stent-graft placement can be an effective and safe treatment for traumatic renal artery injury.

关 键 词：Aortic intramural hematoma Blunt trauma Intimomedial tear Renal arterial injury STENT-GRAFT Case report 

分 类 号：R654.3[医药卫生—外科学]