Blunt abdominal aortic injury: A hybrid approach to combined injuries

Ohad Guetta, Gad Shaked, George Greenberg, Gilbert Sebbag, David Czeiger

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Blunt abdominal aortic injury (BAAI) is a relatively rare pathology, usually the result of a seat belt injury in motor vehicle accidents (MVAs), mostly combined with other injuries. Time is a crucial factor for the successful early management of these cases. Hybrid operating theaters, which support the integration of surgical treatment and interventional radiology, provide opportunities to reduce the time-to-surgery for life-threatening conditions. We report the case of a 24-year-old female who was involved in a high-kinematics MVA. On presentation, she was hemodynamically stable but had a prominent seat belt sign and peritoneal signs. A computerized tomography (CT) scan revealed an intimal flap of the infra-renal aorta and a peri-aortic hematoma together with a suspected laceration of the small bowel. The patient was operated with a hybrid approach; emergent endovascular repair of the aortic injury with stent deployment immediately followed by an explorative laparotomy for the intestinal injury. Her postoperative course was uneventful. The hybrid staged approach allowed a clean and efficient repair of a potentially lethal aortic injury and addressed a contaminated injury in the same compartment, hence preventing redundant morbidity. With the advances and growing availability of endovascular techniques, the hybrid approach has to be an important component of trauma management in the modern era.

Original languageEnglish
Pages (from-to)81-85
Number of pages5
JournalJournal of Endovascular Resuscitation and Trauma Management
Issue number2
StatePublished - 1 Jan 2018
Externally publishedYes


  • Abdominal Aortic Injury
  • Blunt Aortic Injury
  • Endovascular Graft Stent
  • Hybrid Approach
  • Interventional Radiology

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Emergency Medicine
  • Surgery


Dive into the research topics of 'Blunt abdominal aortic injury: A hybrid approach to combined injuries'. Together they form a unique fingerprint.

Cite this