A Case of a Ruptured Internal Iliac Artery Aneurysm Following Abdominal Aortic Repair

DOI
  • Shibata Ko
    at present, Department of Cardiavascular Surgery, Kitasato University School of Medicine
  • Makuuchi Haruo
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Kobayashi Toshiya
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Murakami Hiroshi
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Suzuki Takamaro
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine
  • Nagata Tokuichiro
    Department of Cardiovascular Surgery, St. Marianna University School of Medicine

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Other Title
  • 腹部大動脈瘤術後左内腸骨動脈瘤破裂の１救命例

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An 86-year-old man was referred to our hospital because of sudden left lower abdominal pain. He had undergone infrarenal abdominal aortic aneurysm (AAA) repair at the age of 80. Computed tomography revealed a ruptured large left internal iliac artery aneurysm and the intact site of the previous repair. An emergency operation was performed and he was discharged on the 32nd postoperative day on foot. Ruptured internal iliac artery aneurysms following AAA repair are rare. We recommend a retroperitoneal approach and endoaneurysmorraphy as surgical treatment for this challenging condition.

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