Abstract
An adolescent male presented with a dissection of the thoracic aorta and a left anterior descending coronary artery to right ventricular fistula following a road traffic accident. Authors report the management of this patient using a transcatheter approach for both these arterial issues, with stenting to the thoracic aorta and coil embolization of the coronary artery to right ventricular fistula as a staged procedure, along with a brief review of the literature on traumatic arterial injuries.
Copyright 2007 Wiley-Liss, Inc.
MeSH terms
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Accidents, Traffic*
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Adolescent
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Aortic Aneurysm, Thoracic / etiology
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Aortic Aneurysm, Thoracic / pathology
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Aortic Aneurysm, Thoracic / surgery
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Aortic Aneurysm, Thoracic / therapy*
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Aortic Dissection / etiology
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Aortic Dissection / pathology
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Aortic Dissection / surgery
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Aortic Dissection / therapy*
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Aortography
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation* / instrumentation
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Cardiac Catheterization
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Coronary Artery Disease / etiology
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Coronary Artery Disease / pathology
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Coronary Artery Disease / therapy*
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Echocardiography
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Embolization, Therapeutic*
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Heart Ventricles / pathology
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Humans
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Male
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Minimally Invasive Surgical Procedures
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Stents
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Thoracic Injuries / complications*
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Thoracic Injuries / pathology
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Thoracic Injuries / therapy
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular Fistula / etiology
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Vascular Fistula / pathology
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Vascular Fistula / therapy*