Giant Infrarenal Aortic Aneurysm Rupture Preceded by Left Lower Limb Motor Deficit

Aurelian, Sasarman Vasile; Molnar, AA; Bruno, Schjoth; Oprea, Alexandru; Catalin, Trifan; Andercou, Octavian

doi:10.1016/j.avsg.2017.03.182

Cited by 6 publications

(8 citation statements)

References 5 publications

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“…[15,33,35,40] One patient denied surgical intervention and was managed non-operatively. Thirteen cases reported complications including perigraft seroma [22], ischemic colitis [13,23], ARDS [1], and renal failure [3].…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

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Giant abdominal aortic aneurysms

Nguyen

Tarpara

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

“…Six deaths were reported, which included four open cases, one EVAR, and the one non-operative patient. Among the deaths following open cases, causes included gastritis leading to perforation [15], MI [24], aortocaval fistula [25], and ARDS [1,23]. The death following EVAR was attributed to respiratory complications [1].…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

Giant abdominal aortic aneurysms

Nguyen

Tarpara

et al. 2021

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…Patients are recommended to keep active while avoiding sports with an increased risk of aortic dissection such as weight lifting, isometric exercises etc. Attending clinicians and patients should be aware of early signs of aneurysm complications, including unusual presentations [ 65 , 75 ]. The screening of first-degree relatives and other family members with recording aortic calipers and genetic testing (wherever possible) is advisable…”

Section: Discussionmentioning

confidence: 99%

Rare Causes of Arterial Hypertension and Thoracic Aortic Aneurysms—A Case-Based Review

Encică¹,

Molnar

Manolé

et al. 2021

Diagnostics

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Thoracic aortic aneurysms may result in dissection with fatal consequences if undetected. A young male patient with no relevant familial history, after having been investigated for hypertension, was diagnosed with an ascending aortic aneurysm involving the aortic root and the proximal tubular segment, associated with a septal atrial defect. The patient underwent a Bentall surgery protocol without complications. Clinical examination revealed dorso–lumbar scoliosis and no other signs of underlying connective tissue disease. Microscopic examination revealed strikingly severe medial degeneration of the aorta, with areas of deep disorganization of the medial musculo–elastic structural units and mucoid material deposition. Genetic testing found a variant of unknown significance the PRKG1 gene encoding the protein kinase cGMP-dependent 1, which is important in blood pressure regulation. There may be genetic links between high blood pressure and thoracic aortic aneurysm determinants. Hypertension was found in FBN1 gene mutations encoding fibrillin and in PRKG1 mutations. Possible mechanisms involving the renin–angiotensin system, the role of oxidative stress, osteopontin, epigenetic modifications and other genes are reviewed. Close follow-up and strict hypertension control are required to reduce the risk of dissection. Hypertension, scoliosis and other extra-aortic signs suggesting a connective tissue disease are possible clues for diagnosis.

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“…Среди аневризм есть и свои «рекордсмены». В литературе приведены 4 наблюдения хирургическоголеченияаневризм,размерыкоторых достигали 25 см [2][3][4][5] [2][3][4][5][6][8][9][10][11][12][13][14][15][16](табл. 1).…”

Section: Introductionunclassified

“…1). Летальность при этом составила 4 случая в группе пациентов с разрывом аневризмы (25%) [3,5,14] и 2 -у пациентов без разрыва (7,7%) [17,18].…”

Section: Introductionunclassified

A case of successful surgical treatment of a ruptured giant aneurysm of the infrarenal aorta in an elderly patient

Зотиков¹,

Хоконов²,

Эминов³

et al. 2021

Aterotromboz

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Today, abdominal aortic aneurysm surgery is a fairly well-studied area of medicine. Nevertheless, some questions remain rather debatable. No clear criteria for giant aneurysms have been developed so far. The available foreign and domestic literature reports about 40 cases of surgical treatment of giant abdominal aortic aneurysms, 16 of which are cases of aneurysm rupture. Open surgery remains the method of choice in the treatment of giant aneurysms due to the pronounced technical difficulties of endovascular intervention. The authors present a case of successful surgical treatment of a giant aneurysm rupture in an elderly patient. The peculiarity of this patient's condition is the occurrence of aneurysm rupture after hospital admission. The patient refused surgical treatment for two years after aneurysm detection. On examination after admission, multispiral computed tomography revealed an aneurysm size of 101 mm. On the eve of surgery, pain syndrome in the left abdomen and tachycardia appeared. Aneurysm rupture was suspected and the patient was urgently admitted to the operating room. The surgery was performed under the conditions of machine reinfusion of autoblood. The patient underwent abdominal aortic aneurysm resection with linear prosthesis and retroperitoneal hematoma removal. The postoperative period had no peculiarities. On the 10th day after the operation the patient was discharged in satisfactory condition to the outpatient treatment. This clinical case demonstrates the possibility of successful surgical treatment of giant aneurysm rupture in elderly patients.

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Giant Infrarenal Aortic Aneurysm Rupture Preceded by Left Lower Limb Motor Deficit

Cited by 6 publications

References 5 publications

Giant abdominal aortic aneurysms

Giant abdominal aortic aneurysms

Rare Causes of Arterial Hypertension and Thoracic Aortic Aneurysms—A Case-Based Review

A case of successful surgical treatment of a ruptured giant aneurysm of the infrarenal aorta in an elderly patient

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