Kumar Vinay, Campbell Joe H, Andy Orlando J, Hatten Lewis E
Forrest General Hospital, Hattiesburg, Mississippi, US1A.
J Endovasc Ther. 2002 Apr;9(2):194-7. doi: 10.1177/152660280200900209.
To report a case of ruptured abdominal aortic aneurysm (AAA) treated with a commercially available endoluminal graft.
Ruptured AAA was diagnosed in a 58-year-old man with lower abdominal pain, hypotension, and syncope. A contrast-enhanced computed tomographic (CT) scan confirmed the presence of a 7-cm ruptured infrarenal AAA associated with a large retroperitoneal hematoma. The aneurysm was successfully excluded with a bifurcated AneuRx stent-graft placed through a femoral approach in an emergent procedure. The patient was discharged on the third postoperative day. CT scans at 1 and 10 months demonstrated complete resolution of the retroperitoneal hematoma and continued exclusion of the aneurysm.
The AneuRx stent-graft can be successfully applied for the treatment of a ruptured AAA in emergency situations.
报告一例使用市售腔内移植物治疗的腹主动脉瘤破裂（AAA）病例。
一名58岁男性，因下腹部疼痛、低血压和晕厥被诊断为腹主动脉瘤破裂。增强计算机断层扫描（CT）证实存在一个7厘米的肾下腹主动脉瘤破裂，并伴有巨大的腹膜后血肿。在急诊手术中，通过股动脉途径成功植入分叉型AneuRx支架移植物，排除了动脉瘤。患者术后第三天出院。术后1个月和10个月的CT扫描显示腹膜后血肿完全消退，动脉瘤持续被排除。
AneuRx支架移植物可成功应用于紧急情况下腹主动脉瘤破裂的治疗。
