Affiliation:
1. Saitama Medical University International Medical Center
Abstract
Abstract
Background
The ruptured thoracoabdominal aortic aneurysm (rTAAA) represents a considerable challenge for surgeons. To date, endovascular procedures have not been ableto completely replace open repair when debranching is required.
Case presentation
We report the management of a ruptured Crawford type IV TAAA in a 73-year-old man admitted to our hospital after complaining of left lateral abdominal pain. We first resuscitated with emergency surgery to close the lacerated foramen. A graft replacement was performed at 1 month after the initial surgery after the patient stabilized. At 5 years postoperatively, neither occlusion nor anastomotic pseudoaneurysm was noted on computed tomography scan.
Conclusions
We provide an update on the perioperative management of patients undergoing open rTAAA repair. This procedure can be considered to ensure complete repair of an rTAAA.
Publisher
Research Square Platform LLC
Reference16 articles.
1. Outcomes of 3309 thoracoabdominal aortic aneurysm repairs;Coselli JS;J Thorac Cardiovasc Surg,2016
2. Masuda M, Okumura M, Doki Y, Endo S, Hirata Y, Kobayashi J et al. Committee for Scientific Affairs JATS. Thoracic and cardiovascular surgery in Japan during 2014: annual report by the Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2016;64:665 – 97.
3. Repair of ruptured thoracoabdominal aortic aneurysm is worthwhile in selected cases;Bradbury AW;Eur J Vasc Endovasc Surg,1999
4. Emergency repair of thoracoabdominal aortic aneurysms with immediate presentation;Velazquez OC;J Vasc Surg,1999
5. Thoracoabdominal aneurysm repair: results with 337 operations performed over a 15-year interval;Cambria RP;Ann Surg,2002