Ma Robert W L, Huilgol Ravi L
University of New South Wales Medical School, St Vincent's Hospital, Sydney, New South Wales, Australia.
Ann Vasc Surg. 2011 Oct;25(7):981.e17-9. doi: 10.1016/j.avsg.2011.02.040. Epub 2011 May 28.
The presentation of a ruptured fusiform abdominal aortic aneurysm (AAA) co-occurring with bilateral iliac dissections is extremely rare. Endovascular repair of ruptured AAA is an accepted treatment modality for suitable patients; however, this approach may be complicated by the presence of iliac arterial pathology.
We report the case of a 66-year-old man who presented with a ruptured AAA. Preoperative imaging demonstrated bilateral iliac artery dissections in addition to the ruptured AAA. We describe the technical aspects of the combined endovascular and open surgical repair required to manage this complex presentation.
The combined presentation of ruptured AAA and bilateral iliac dissections has not been previously reported. Successful repair can be achieved using a combined endovascular and open surgical approach.
梭形腹主动脉瘤（AAA）破裂并伴有双侧髂动脉夹层的情况极为罕见。对于合适的患者，血管腔内修复破裂的AAA是一种公认的治疗方式；然而，这种方法可能会因髂动脉病变而出现并发症。
我们报告了一例66岁男性患者，其表现为AAA破裂。术前影像学检查显示，除了破裂的AAA外，还存在双侧髂动脉夹层。我们描述了处理这种复杂情况所需的血管腔内和开放手术联合修复的技术要点。
AAA破裂与双侧髂动脉夹层同时出现的情况此前未见报道。采用血管腔内和开放手术联合方法可成功实现修复。
