Traumatic pseudoaneurysm of aorta: a story of survival

Smeet Patel, Sanjay Patel, Lakshman Khiria


Pseudoaneurysms caused by injury to the abdominal aorta are uncommon, but they are frequently observed after forceful trauma or injury to penetrating arteries. Aortic pseudoaneurysm (AAP) symptoms range from asymptomatic to compression symptoms to severe rupture culminating in mortality. We present a case of a young female who had an aortic damage during an exploratory laparoscopy due to a veress needle, which was followed by the development of AAP after 9 days and was successfully managed by open surgery. To our knowledge, this is the first example of AAP in which the injury site and the progression of AAP were distinct. A follow-up CT scan could be crucial in diagnosing AAPs, especially in patients who are asymptomatic. AAPs necessitate a quick surgical repair to avoid fatal consequences.


Abdominal aortic pseudoaneurysm, Accidental injury, Veress needle injury, Trauma

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Wanhainen A. How to define an abdominal aortic aneurysm--influence on epidemiology and clinical practice. Scand J Surg. 2008;97:105-9.

Kent KC. Clinical practice. Abdominal aortic aneurysms. N Engl J Med. 2014;371:2101-8.

Sakalihasan N, Limet R, Defawe OD. Abdominal aortic aneurysm. Lancet. 2005;365:1577-89.

Chase CW, Layman TS, Barker DE. Traumatic abdominal aortic pseudoaneurysm causing biliary obstruction: a case report and review of the literature. J Vasc Surg. 1997;25:936-40.

Demetriades D, Theodorou D, Murray J. Mortality and prognostic factors in penetrating injuries of the aorta. J Trauma. 1996;40:761-3.

Parmley LF, Mattingly TW, Manion WC. Penetrating wounds of the heart and aorta. Circulation. 1958;17:953-73.

Ishii H, Nakamura K, Nakamura E. Aortic pseudoaneurysm due to simple vertebral compression fracture treated with conservative management. Ann Vasc Dis. 2016;9:349-51.

Massara M, Prunella R, Gerardi P. Infrarenal Abdominal Aortic Pseudoaneurysm: Is It a Real Emergency?. Ann Vasc Dis. 2017;10(4):423-5.

Borioni R, Garofalo M, Seddio F, Colagrande L, Marino B, Albano P. Posttraumatic infrarenal abdominal aortic pseudoaneurysm. Tex Heart Inst J. 1999;26(4):312-4.

Li X, Zhao JC, Huang B. Management of giant post-traumatic abdominal aortic pseudoaneurysm and aortic occlusion using a unique hybrid procedure combining transcatheter device closure and open surgical repair. Ann Vasc Surg. 2014;28:1322.e7-11.

Geckeis K, Eggebrecht H, Schmermund A. Percutaneous repair of abdominal aortic pseudoaneurysm by catheter-based delivery of thrombin. J Endovasc Ther. 2006;13:264-8.

Salsamendi J, Pereira K, Rey J. Endovascular coil embolization in the treatment of a rare case of post-traumatic abdominal aortic pseudoaneurysm: brief report and review of literature. Ann Vasc Surg. 2016;30:310.e1-8.

Ghazala CG, Green BR, Williams R. Endovascular management of a penetrating abdominal aortic injury. Ann Vasc Surg. 2014;28:1790.e9.

Zamudio L, Olive G, Barone H. Traumatic abdominal aortic pseudoaneurysm treated with balloon-expandable bifurcated endoprosthesis. J Vasc Surg. 1998;28:345-8.

Hinchliffe RJ, Yung M, Hopkinson BR. Endovascular exclusion of a ruptured pseudoaneurysm of the infrarenal abdominal aorta secondary to pancreatitis. J Endovasc Ther. 2002;9:590-2.

Bechara-Zamudio L, Olive G, Barone H. Traumatic abdominal aortic pseudoaneurysm treated with balloon-expandable bifurcated endoprosthesis. J Vasc Surg. 1998;28:345-8.

Oner E, Erkanli K, Akturk IF. Posttraumatic infrarenal abdominal aortic pseudoaneurysm treated with bifurcated endovascular graft stent. Postepy Kardiol Interwencyjnej. 2015;11:146-9.