首页> 外文期刊>EJVES Short Reports >Repeat Rupture of a Giant Abdominal Aortic Aneurysm after EVAR
【24h】

Repeat Rupture of a Giant Abdominal Aortic Aneurysm after EVAR

机译:EVAR后重复发生巨大的腹主动脉瘤破裂

获取原文
       

摘要

IntroductionRuptured abdominal aortic aneurysms (AAAs) are known to be associated with high fatal outcomes. Giant AAAs are often defined as having a maximum diameter over 13?cm. Large AAAs over 8?cm have demonstrated a yearly rupture rate of 30–50%, which explains the rarity of giant AAAs. Endovascular repair of ruptured AAAs (rAAAs) is increasingly advocated because of the shorter hospital stay and fewer post-operative complications. Nonetheless, outcomes regarding mortality and cost-effectiveness show a large variability and long-term outcomes are lacking. Few data have been published on treatment of giant AAAs and rAAAs; however, open surgery is generally the preferred option.ReportAn 83 year old presented to the Emergency Department with a history of ruptured abdominal aortic aneurysm treated with an aorto-uni-iliac endograft and a femorofemoral crossover bypass. During follow up, this was complicated by a symptomatic type III endoleak, which was treated by endovascular repair. During the current admission, he presented with a re-rupture of his former aneurysm, which now was 18?cm diameter because of a type IA endoleak. Open surgical repair was performed and the post-operative course was without complications.DiscussionThe current case underlines the value of vascular surgeons being able to perform both open and endovascular surgery in rAAA.
机译:简介破裂的腹主动脉瘤(AAAs)与致命的高死亡率相关。巨型AAA通常被定义为最大直径超过13?cm。超过8?cm的大型AAA具有每年30%至50%的破裂率,这解释了巨型AAA的稀有性。由于住院时间短和术后并发症少,越来越多地主张对破裂的AAAs(rAAAs)进行血管内修复。但是,关于死亡率和成本效益的结果显示出很大的可变性,并且缺乏长期的结果。很少有关于巨型AAA和rAAA的治疗数据。报告显示,现年83岁的一位急诊科患者因腹主动脉瘤破裂而接受了单主动脉内ilia动脉移植和股股动脉交叉搭桥治疗。在随访过程中,有症状的III型内漏使之复杂化,并通过血管内修复治疗。在目前的入院过程中,他出现了先前动脉瘤的再次破裂,由于IA型内漏,该动脉瘤现在的直径为18?cm。进行了开放手术修复,术后过程无并发症。讨论本例强调了血管外科医师能够在rAAA中同时进行开放和血管内手术的价值。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号