Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy

Iatrogenic aortic injury is a rare complication of laparoscopic nephrectomy with potentially catastrophic complications. Delays in recognition and treatment contribute significantly to patient morbidity and mortality. We present the case of a patient with acute limb ischemia and mesenteric ischemia...

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Main Authors: Kaileen Fei, BA, Juliet Blakeslee-Carter, MD, Benjamin J. Pearce, MD
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723003246
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author Kaileen Fei, BA
Juliet Blakeslee-Carter, MD
Benjamin J. Pearce, MD
author_facet Kaileen Fei, BA
Juliet Blakeslee-Carter, MD
Benjamin J. Pearce, MD
author_sort Kaileen Fei, BA
collection DOAJ
description Iatrogenic aortic injury is a rare complication of laparoscopic nephrectomy with potentially catastrophic complications. Delays in recognition and treatment contribute significantly to patient morbidity and mortality. We present the case of a patient with acute limb ischemia and mesenteric ischemia secondary to partial transection of the supraceliac aorta during laparoscopic nephrectomy with a staple ligature. The injury was successfully treated with resection of the stapled aorta and reconstruction of a thoracoabdominal aortic bypass with a jump graft to the celiac artery.
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spelling doaj.art-cb7475b1e9c8485bbcb4d29371e6cf302024-03-23T06:25:36ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101415Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomyKaileen Fei, BA0Juliet Blakeslee-Carter, MD1Benjamin J. Pearce, MD2Duke University School of Medicine, Durham, NCDivision of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, ALDivision of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL; Correspondence: Benjamin J. Pearce, MD, Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, 1808 7th Ave S, BDB 652, Birmingham, AL 35294Iatrogenic aortic injury is a rare complication of laparoscopic nephrectomy with potentially catastrophic complications. Delays in recognition and treatment contribute significantly to patient morbidity and mortality. We present the case of a patient with acute limb ischemia and mesenteric ischemia secondary to partial transection of the supraceliac aorta during laparoscopic nephrectomy with a staple ligature. The injury was successfully treated with resection of the stapled aorta and reconstruction of a thoracoabdominal aortic bypass with a jump graft to the celiac artery.http://www.sciencedirect.com/science/article/pii/S2468428723003246Aortic occlusionIatrogenic injuryThoracoabdominal aortic repair
spellingShingle Kaileen Fei, BA
Juliet Blakeslee-Carter, MD
Benjamin J. Pearce, MD
Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy
Journal of Vascular Surgery Cases and Innovative Techniques
Aortic occlusion
Iatrogenic injury
Thoracoabdominal aortic repair
title Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy
title_full Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy
title_fullStr Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy
title_full_unstemmed Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy
title_short Open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy
title_sort open supraceliac aortic repair of an iatrogenic aortic partial ligation during laparoscopic nephrectomy
topic Aortic occlusion
Iatrogenic injury
Thoracoabdominal aortic repair
url http://www.sciencedirect.com/science/article/pii/S2468428723003246
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AT benjaminjpearcemd opensupraceliacaorticrepairofaniatrogenicaorticpartialligationduringlaparoscopicnephrectomy