| A Case Report of Impending Ruptured
Suprarenal Abdominal Aortic Aneurysm Associated with a Penetrating
Atherosclerotic Ulcer |
(Department of Surgery II, Tokyo Medical University,
Tokyo, Japan)
| Naozumi Saiki |
Shin Ishimaru |
Hiroaki Ichihashi |
| Taro Shimazaki |
Yukio Obitsu |
Mikio Ishikawa |
|
A 71-year-old woman was admitted
with sudden onset of abdominal pain. CT scan image and symptoms
showed an impending ruptured suprarenal abdominal aortic aneurysm
therefore we performed an emergency operation. The abdominal
aorta was replaced with a trunk prosthetic graft with four branches
for visceral and lumbar arteries. The post-operative course was
uneventful. Pathological examination showed that the aorta had
severe atherosclerotic changes. The fibrous tissues increased
in the aneurysmal wall which was not consistent with the normal
aorta. Intima and media of the aorta everted into the aneurysm.
These findings suggested that aneurysm was caused by a penetrating
atherosclerotic ulcer.
Jpn. J. Cardiovasc. Surg. 30: 190-192 (2001) |
|
