Direct site endovascular repair as salvage procedure after anastomotic breakdown of primary repair following trauma

Anders J. Davidson, MD, MAS; Marta J. Madurska, MD; Benjamin Moran, MD; Jonathan J. Morrison, MD; Joseph J. DuBose, MD; Thomas M. Scalea, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Dec 2019)

Direct site endovascular repair as salvage procedure after anastomotic breakdown of primary repair following trauma

Anders J. Davidson, MD, MAS,
Marta J. Madurska, MD,
Benjamin Moran, MD,
Jonathan J. Morrison, MD,
Joseph J. DuBose, MD,
Thomas M. Scalea, MD

Affiliations

Anders J. Davidson, MD, MAS: Department of Surgery, UC Davis Medical Center, Sacramento, Calif; Department of General Surgery, David Grant Medical Center, Travis Air Force Base, Calif
Marta J. Madurska, MD: R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Md
Benjamin Moran, MD: R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Md
Jonathan J. Morrison, MD: R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Md
Joseph J. DuBose, MD: R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Md; Correspondence: Joseph J. DuBose, MD, Department of Surgery, R Adams Cowley Shock Trauma Center, 22 S Greene St, Baltimore, MD 21201
Thomas M. Scalea, MD: R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Md

Journal volume & issue: Vol. 5, no. 4
pp. 597 – 601

Abstract

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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. Keywords: Direct site endovascular repair, DSER, Stent graft, Vascular trauma

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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