Kobayashi Kensuke, Mizuno Yusuke, Suzuki Rina
Cardiac Surgery, Daiyukai General Hospital, Ichinomiya, JPN.
Cureus. 2025 Apr 24;17(4):e82925. doi: 10.7759/cureus.82925. eCollection 2025 Apr.
An 80-year-old man who underwent abdominal aortic replacement 14 years earlier collapsed suddenly and was rushed into our emergency room. In a state of confusion on arrival, he ended up experiencing cardiopulmonary arrest. Cardiopulmonary resuscitation was successful, and a contrast-enhanced computed tomography revealed a massive retroperitoneal hemorrhage around the bifurcated prosthetic graft. Aortography revealed a non-anastomotic rupture of the graft's body. An emergency endovascular repair was successfully performed; however, the patient died due to disseminated intravascular coagulation and multiple organ failure on postoperative day one.
一名14年前接受腹主动脉置换术的80岁男性突然晕倒,被紧急送往我们的急诊室。到达时处于意识模糊状态,最终发生了心肺骤停。心肺复苏成功,增强计算机断层扫描显示分叉人工血管周围有大量腹膜后出血。主动脉造影显示人工血管主体非吻合口破裂。成功进行了紧急血管内修复;然而,患者在术后第一天因弥散性血管内凝血和多器官衰竭死亡。