Endovascular repair of traumatic aortic injury in a pediatric patient.

We present the case of a 14-year-old girl who sustained a traumatic aortic injury (TAI) after a motor vehicle collision. Due to the severity of her associated injuries, she was not a candidate for open aortic repair. Available options for endovascular repair were very limited due to the small aortic diameter (14 mm). We performed a successful endovascular repair with an off-label use of an iliac limb prosthesis (Excluder, WL Gore, Flagstaff, Ariz). This case demonstrates the utility of an iliac limb prosthesis for endovascular repair of TAI in a child as a bridge to future open conversion.