Open Repair of Ruptured Huge Aorto-Iliac Aneurysm: Warning of Colon Ischemia
Vascular Specialist International
;
: 76-79, 2014.
Artigo
em Inglês
| WPRIM
| ID: wpr-30775
ABSTRACT
A giant abdominal aortic aneurysm (AAA) renders surgical treatment much more difficult by deforming the proximal infrarenal aortic neck (shortened length and disturbed angulation), by altering the iliac arteries (marked tortuosity and aneurysmal dilatation), and by displacing abdominal organs. Because the retroperitoneal rupture of giant AAA makes the mesentery more elongated and deformed, compromising its blood flow and thus increasing the risk of mesenteric ischemia such as colon ischemia. We describe here the surgical repair of a large infrarenal AAA with a ruptured huge left common iliac artery aneurysm of 13.5 cm in diameter, accompanied by colostomy due to colon ischemia which occurred during the operation. We discuss the pathophysiology and preventive strategy of colon ischemia during ruptured giant AAA repair.
Texto completo:
DisponíveL
Índice:
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Assunto principal:
Ruptura
/
Colostomia
/
Colite Isquêmica
/
Aneurisma da Aorta Abdominal
/
Aneurisma Roto
/
Colo
/
Artéria Ilíaca
/
Isquemia
/
Aneurisma
/
Mesentério
Idioma:
Inglês
Revista:
Vascular Specialist International
Ano de publicação:
2014
Tipo de documento:
Artigo
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