Endovascular repair of ruptured abdominal aortic aneurysm
Introduction. Rupture of an abdominal aortic aneurysm (AAA) is a potentially lethal state. Only half of patients with ruptured AAA reach the hospital alive. The alternative for open reconstruction of this condition is endovascular repair (EVAR). We presented a successful endovascular reapir...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2014-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2014/0042-84501401078S.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Introduction. Rupture of an abdominal aortic aneurysm (AAA) is a potentially
lethal state. Only half of patients with ruptured AAA reach the hospital
alive. The alternative for open reconstruction of this condition is
endovascular repair (EVAR). We presented a successful endovascular reapir of
ruptured AAA in a patient with a number of comorbidities. Case report. A
60-year-old man was admitted to our institution due to diffuse abdominal
pain with flatulence and belching. Initial abdominal ultrasonography showed
an AAA that was confirmed on multislice computed tomography scan angiography
which revealed a large retroperitoneal haematoma. Because of patient’s
comorbidites (previous surgery of laryngeal carcinoma and one-third
laryngeal stenosis, arterial hypertension and cardiomyopathy with left
ventricle ejection fraction of 30%, stenosis of the right internal carotid
artery of 80%) it was decided that endovascular repair of ruptured AAA in
local anaesthesia and analgosedation would be treatment of choice.
Endovascular grafting was achieved with aorto-bi-iliac bifurcated excluder
endoprosthesis with complete exclusion of the aneurysmal sac, without
further enlargment of haemathoma and no contrast leakage. The postoperative
course of the patient was eventless, without complications. On recall
examination 3 months after, the state of the patient was well. Conclusion.
The alternative for open reconstruction of ruptured AAA in haemodynamically
stable patients with suitable anatomy and comorbidities could be emergency
EVAR in local anesthesia. This technique could provide greater chances for
survival with lower intraoperative and postoperative morbidity and
mortality, as shown in the presented patient. |
|---|---|
| ISSN: | 0042-8450 |