Posttraumatic abdominal aortic dissection

Dissections due to deceleration trauma are rarely limited to the infradiaph ragmal aorta (only 2-3%) and are usually lethal. Here we report the unusual course of an abdominal aortic dissection with aneurysmatic enlargement of the false lumen. Based on diagnostic imaging,a therapeutic stent applicatio n was planed in order to close the entry and to prevent rupture. During the intervention sondation of the false lumen revealed that the left renal art ery had a reentry. Due to the complexity of the entry - reentry situation o f the left renal artery the intervention was not possible,and the patient h ad to undergo vascular surgery.