Percutaneous balloon fenestration in a case of traumatic abdominal aortic dissection with lower extremity ischemia

Nishimura, Kengo MD
Kanaoka, Yasushi MD
Ikebuchi, Masahiko MD
Hiroe, Tohru MD
Tachibana, Maromi MD
Ishiguro, Shingo MD
Ohgi, Shigetsugu MD

Yonago, Japan
From the Second Department of Surgery, Tottori University, Faculty of Medicine, Yonago, Japan.

Competition of interest: nil.

Reprint requests: Shigetsugu Ohgi, MD, Second Department of Surgery, Tottori University, Faculty of Medicine, 36-1 Nishi-cyo, Yonago 683-8504, Japan.

Submitted Oct 15, 1999.

Accepted Jan 14, 2000

Journal of Vascular Surgery 32(3):p 616-618, September 2000.

A 38-year-old man was involved in a traffic accident and experienced a heavy blow to the abdomen. He had traumatic abdominal aortic dissection with right lower extremity ischemia. He underwent percutaneous balloon fenestration, which is safe and minimally invasive, for relief of right lower extremity ischemia. He has been working for 2 years without any signs of vascular compromise. Percutaneous balloon fenestration is one of the few treatments for traumatic abdominal aortic dissection. (J Vasc Surg 2000;32: 616-8)