[Stent-ghaft new technique for treatment of aneurysms]

Endovascular aneurysm repair involves the transluminal placement of a graft within the aneurysm that completely excludes the sac from the general circulation, the graft is anchored in place by a balloon-expandable or self-expanding metal frame that supports all or part of the graft and provides a watertight seal proximal and distal to the dilated segment of the artery. Because it avoids the need for laparotomy, cross-clamping of the aorta, and the obligatory blood loss associated with the opening of the aneurysm sac, this technique has much to be recommended. It has the potential to reduce the morbidity and mortality associated with conventional open abdominal aortic aneurysms [AAA] repair and extend the scope of repair to those patients with severe medical co-morbidities who were previously denied treatment

[Ruptured infrarenal abdominal aortic aneurysms, Al Mowassat Hospital experience]

The rupture of infrarenal abdominal aortic aneurysm is considered a life threatening serious complication with a mortality rate over 50%. The author reviewed in this study 14 patients [10 Males/ 4 Females] presented to Al Mowassat Hospital over a period of two years 2000-2001 with mean age of 65 years. The diagnosis was confirmed by abdominal Echography and abdominal contrast Ct-scan in 10 patient while 4 patients had abdominal Echography only preoperatively, a confined retroperitoneal rupture was confirmed in all patients. The overall mortality was 42,8% 6 patients] : 4 patients had intra operative death because of hemodynamic instability at presentation, one patient died 2 days later because of acute myocardial infarction, one patient died 1 week later because of the complication of acute renal failure. The author concludes that early diagnosis and rapid surgical approach proceeding associated with a good postoperative care can reduce the mortality of ruptured infrarenal abdominal aortic aneurysms