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Original communication| Volume 109, ISSUE 5, P623-626, May 1991

Complete external iliac artery disruption after percutaneous aortic valvuloplasty in two young children: Successful repair with hypogastric artery transposition

  • Dolores F. Cikrit
    Correspondence
    Reprint requests: Dolores F. Cikrit, MD, Department of Surgery, Indiana University Medical Center, 1001 W. 10th St., Indianapolis, IN 46202.
    Affiliations
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind., USA

    Department of Surgery, University of Missouri Medical Center, Columbia, Mo. USA
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  • Mary Alice Helikson
    Affiliations
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind., USA

    Department of Surgery, University of Missouri Medical Center, Columbia, Mo. USA
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  • W.Kirt Nichols
    Affiliations
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind., USA

    Department of Surgery, University of Missouri Medical Center, Columbia, Mo. USA
    Search for articles by this author
  • Donald Silver
    Affiliations
    Department of Surgery, Indiana University School of Medicine, Indianapolis, Ind., USA

    Department of Surgery, University of Missouri Medical Center, Columbia, Mo. USA
    Search for articles by this author
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      Abstract

      The majority of vascular injuries in young children are iatrogenic. This is a report of two complete external iliac artery disruptions occurring during percutaneous transfemoral balloon aortic valvuloplasty in a 2-year-old and a 5-year-old child. The damaged external iliac artery was bypassed by extensively mobilizing the hypogastric surgery and rotating it upward to anastomose it to the proximal common femoral artery. Normal limb pulses, function, and growth were noted in follow-up.
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