Case review shows endovascular repair as a viable option for grade III aortic injury in a pediatric patient, indicating potential advantages over traditional methods.
Abstract Blunt aortic injury is rare in the pediatric population and usually results from high-energy trauma such as motor-vehicle collisions. We report an 8-year-old boy with polytrauma who sustained a grade III infrarenal blunt aortic injury after an MVC and underwent endovascular aortic repair. Pediatric endovascular management presents unique challenges including small vessel size, future somatic aortic growth, and uncertainty regarding long-term stent durability. Data describing endovascular repair of infrarenal blunt aortic injury in children remain limited. This case highlights important technical considerations and supports endovascular repair as a viable alternative to open repair in selected pediatric patients.
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Matabele et al. (2026) studied this question.
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