Abstract
Abdominal aortic injury caused by blunt trauma is rare. We examined a 69-year-old-male with acute abdominal aortic occlusion due to a steering wheel injury in an automobile accident. At the time of the emergency operation, the infra-renal abdominal aorta was occluded with a complete transection of the intima and media, resulting in a flap formation and thrombosis. Aortoiliac arterial replacement was performed with a bifurcated Dacron graft. The postoperative course was complicated and included acute cardiac failure, respiratory distress, and myonephropathic metabolic syndrome. The patient gradually recovered, and to date remains well, 6 months after surgery.
