Ito Toshiro, Koyanagi Tetsuya, Kawaharada Nobuyoshi, Kurimoto Yoshihiko, Uzuka Takeshi, Uehara Mayuko, Hagiwara Takayuki, Yanase Yohsuke, Maeda Toshiyuki, Higami Tetsuya
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University, School of Medicine, Sapporo, Hokkaido, Japan.
Ann Vasc Dis. 2012;5(4):454-7. doi: 10.3400/avd.cr.12.00043. Epub 2012 Nov 15.
A 77-year-old woman with a ruptured abdominal aortic aneurysm (AAA) was transferred to our hospital. Due to a severe comorbidity, endovascular aortic repair of the ruptured AAA was proposed. During the operation, although a Zenith(®) AAA endovascular graft was deployed, digital subtracted angiography revealed an enhancement of the endoleak, and the patient became hemodynamically unstable. Therefore, we decided to convert to graft replacement of the abdominal aorta through a median laparotomy. During the postoperative period, the patient suffered from ischemic colitis, which resolved with conservative therapy. She was discharged after 33 postoperative days.
一名77岁腹主动脉瘤(AAA)破裂的女性被转至我院。由于严重的合并症,建议对破裂的AAA进行血管腔内主动脉修复术。手术过程中,尽管植入了Zenith(®)AAA血管腔内移植物,但数字减影血管造影显示内漏增强,患者血流动力学变得不稳定。因此,我们决定通过正中剖腹术转为腹主动脉移植置换术。术后期间,患者发生缺血性结肠炎,经保守治疗后痊愈。术后33天出院。