A Case of Ruptured Abdominal Aneurysm Successfully Treated by Patch Closure

DOI Web Site Web Site 5 References

Bibliographic Information

Other Title
  • パッチ閉鎖術にて救命した嚢状腹部大動脈瘤破裂の1例
  • 症例 パッチ閉鎖術にて救命した囊状腹部大動脈瘤破裂の1例
  • ショウレイ パッチ ヘイサジュツ ニテ キュウメイ シタ ノウジョウ フクブ ダイ ドウミャクリュウ ハレツ ノ 1レイ

Search this article

Description

Saccular aneurysms are more vulnerable to rupture than fusiform aneurysms ; the occurrence of rupture increases the mortality rate, even if emergency surgery is performed.<BR>An 85-year-old woman who experienced sudden onset of left flank pain and vomiting was transported to our hospital. She had a history of hypertension, diabetes mellitus, hyperlipidemia, and angina pectoris. Contrast-enhanced abdominal computed tomography revealed a ruptured abdominal aortic aneurysm (48 mm in diameter) arising from the anterior wall of the terminal aorta and massive retroperitoneal hemorrhage spreading above the left renal artery. The aneurysm was classified as Fitzgerald type III. The patient was immediately transferred to the operation theater. Initially, artificial vascular grafting was planned ; however, the patient developed progressively worsening circulatory collapse. Furthermore, severe adhesions were observed around the terminal aorta. Therefore, the patch closure technique was applied to close the mouth of the saccular aneurysm in order to control the bleeding. After the procedure, the bleeding gradually ceased, the patient recovered from the circulatory shock, and the operation was successfully completed. The patient remained relatively stable after the operation. On postoperative day 23, she was discharged without any serious complications.

Journal

References(5)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top