Surgical Repair of a Ruptured Giant Abdominal Aortic Aneurysm in a 16-Year-Old with Takayasu’s Arteritis: Case Report and Etiological Review

A ruptured infrarenal abdominal aortic aneurysm (rAAA) is associated with an in-hospital mortality rate of 40% and an overall mortality rate of 60–80%. Open surgical repair for rAAA remains the principal method of treatment when endovascular repair is not available. Graft infection occurs in 1–4% of patients at 5 years, with a high incidence following emergency treatment. Other graft-related complications include pseudoaneurysm, graft occlusion and aorto-enteric fistula. This case report describes a 66-year-old male patient that was admitted to hospital complaining of intense abdominal pain, low blood pressure and tachycardia. He was diagnosed with a rAAA and treated using segmental resection of the abdominal aorta followed by reconstruction with a synthetic Dacron prosthesis. A pedicle omental flap was wrapped around the prosthetic graft and it was also used to fill the retroperitoneal cavity in order to reduce the risk of graft-related complications. Computed tomography angiography after 6 months showed good integration of the aortic prosthetic graft and the viability of the omental flap. In our opinion, vascular surgeons should consider the pedicle omental flap when they perform open surgical repair for rAAA in order to reduce the incidence of graft-related complications.

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Extraabdominal Rupture of an Inflammatory Abdominal Aortic Aneurysm in a Patient With Aortodecubital Fistula: A Case Report

Annals of Vascular Surgery ◽

10.1016/j.avsg.2020.12.031 ◽

2021 ◽

Author(s):

Arpád Panyko ◽

Martin Dubovský ◽

Marián Vician

Keyword(s):

Abdominal Aortic Aneurysm ◽

Case Report ◽

Aortic Aneurysm ◽

Abdominal Aortic ◽

Inflammatory Abdominal Aortic Aneurysm

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A 13 cm asymptomatic abdominal aortic aneurysm complicated with arterial obstruction in the left lower limb: A Case report

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102815 ◽

2021 ◽

Vol 70 ◽

pp. 102815

Author(s):

Sarya Swed ◽

Salim Tfankji ◽

Hussein Alkanj ◽

Tasneem Mohamed ◽

Nawras Alhalabi ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Case Report ◽

Aortic Aneurysm ◽

Lower Limb ◽

Abdominal Aortic ◽

Left Lower Limb

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Renal autotransplantation in open surgical repair of suprarenal abdominal aortic aneurysm

Annals of Surgical Treatment and Research ◽

10.4174/astr.2015.89.1.48 ◽

2015 ◽

Vol 89 (1) ◽

pp. 48 ◽

Cited By ~ 1

Author(s):

Eun-Ki Min ◽

Young Hoon Kim ◽

Duck Jong Han ◽

Youngjin Han ◽

Hyunwook Kwon ◽

...

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Surgical Repair ◽

Open Surgical Repair ◽

Abdominal Aortic ◽

Renal Autotransplantation

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Emergency endovascular treatment of a ruptured internal iliac artery aneurysm long after abdominal aortic aneurysm surgical repair

VASA ◽

10.1024/0301-1526.38.1.91 ◽

2009 ◽

Vol 38 (1) ◽

pp. 91-93 ◽

Cited By ~ 4

Author(s):

Borioni ◽

De Luca ◽

Maspes ◽

Sciuto ◽

Garofalo

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Endovascular Treatment ◽

Iliac Artery ◽

Surgical Repair ◽

Internal Iliac Artery ◽

Artery Aneurysm ◽

Emergency Setting ◽

Abdominal Aortic ◽

Internal Iliac

The purpose of this report is to describe the endovascular exclusion of an internal iliac artery (IIA) aneurysm in emergency setting, long after abdominal aortic aneurysm surgical repair. An 85-year-old male presented with a contained rupture of a huge IIA aneurysm, ten years after aortoiliac bifurcated grafting. Because of poor clinical conditions an emergency endovascular treatment was planned. A stent-graft was positioned from the proximal right branch of the bifurcated surgical prosthesis to the distal external iliac artery, covering the hypogastric aneurysm neck. One month after the procedure, CT scan demonstrated the complete exclusion of the aneurysm. Endovascular treatment of IIA aneurysms is an excellent option to reduce perioperative morbidity and mortality in high risk patients, particularly in an emergency setting.

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