Staged repair of a ruptured thoracoabdominal aortic aneurysm: a case report

A ruptured thoracoabdominal aortic aneurysm (rTAAA) represents a considerable challenge for surgeons. To date, endovascular procedures have not been able to completely replace open repair when debranching is required. A 73-year-old man was admitted to our hospital after complaining of left lateral a...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2024-04, Vol.19 (1), p.212-212, Article 212
Main Authors: Takazawa, Akitoshi, Asakura, Toshihisa, Nakajima, Hiroyuki, Yoshitake, Akihiro
Format: Article
Language:English
Subjects:
Abdomen
Aged
Anastomosis, Surgical
Aneurysm, False
Aorta
Aortic Aneurysm, Thoracoabdominal
Aortic aneurysms
Aortic Rupture - diagnostic imaging
Aortic Rupture - surgery
Blood pressure
Cardiovascular disease
Cardiovascular system
Case Report
Case reports
Computed tomography
Coronary vessels
CT imaging
Diaphragm (Anatomy)
Endovascular
Endovascular Procedures
Graft replacement
Hematoma
Hemodynamics
Hemorrhage
Hospitals
Humans
Male
Medical imaging
Mortality
Occlusion
Ostomy
Patients
Pseudoaneurysm
Ruptured aortic aneurysm
Staged repair
Surgeons
Surgery
Thoracic surgery
Tomography
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Summary:A ruptured thoracoabdominal aortic aneurysm (rTAAA) represents a considerable challenge for surgeons. To date, endovascular procedures have not been able to completely replace open repair when debranching is required. A 73-year-old man was admitted to our hospital after complaining of left lateral abdominal pain. Enhanced computed tomography revealed a left retroperitoneal hematoma and a large, ruptured Crawford type IV TAAA. We first performed emergency resuscitative surgery to close the lacerated foramen. A graft replacement was performed 1 month after the initial surgery when the patient had stabilized. At 5 years postoperatively, neither occlusion nor anastomotic pseudoaneurysm was noted on computed tomography. We provide an update on the perioperative management of patients undergoing open rTAAA repair. This procedure can be considered to ensure complete repair of an rTAAA.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-024-02703-0