Soares Rafael de Athayde, Cury Marcus Vinícius Martins, da Silva Luiz Maurício, Figueiredo Patrícia Weiber Schettini, da Costa Danilo Augusto Pereira Nery, Correa Camila de Freitas, Cáceres Nayara de Arruda, Saciloto Roberto
Hospital do Servidor Público Estadual de São Paulo, Division of Vascular and Endovascular Surgery, São Paulo, SP, Brasil.
J Vasc Bras. 2021 Jul 5;20:e20200173. doi: 10.1590/1677-5449.200173. eCollection 2021.
In this paper, we describe a case series of four patients who were admitted with emergencies related to aortic aneurysms over a 3-day period and were treated with endovascular repair. The first patient was an 81-year-old female with a history of abdominal pain and a ruptured aortic aneurysm diagnosed by AngioCT-scan. The second patient was a 63-year-old male with a history of oral digestive bleeding and an AngioCT-scan showing an aortoenteric fistula. The third patient was a 77-year-old female with sudden-onset abdominal pain and ruptured right common iliac aneurysm. The fourth patient presented with abdominal pain and an AngioCT-scan showed aortic rupture. All four patients were discharged with no major complications or surgical mortality. These case series show that despite the Covid-19 pandemic situation, since elective surgeries decreased, vascular emergencies have increased.
在本文中,我们描述了一个病例系列,其中4名患者在3天内因与主动脉瘤相关的急症入院,并接受了血管内修复治疗。第一名患者是一名81岁女性,有腹痛病史,经血管造影CT扫描诊断为主动脉瘤破裂。第二名患者是一名63岁男性,有口腔消化道出血病史,血管造影CT扫描显示主动脉肠瘘。第三名患者是一名77岁女性,突发腹痛,右侧髂总动脉瘤破裂。第四名患者出现腹痛,血管造影CT扫描显示主动脉破裂。所有4名患者均已出院,无重大并发症或手术死亡。这些病例系列表明,尽管处于新冠疫情形势下,但由于择期手术减少,血管急症有所增加。