| Successful Surgical Treatment
of a Case of Ruptured Thoracoabdominal Aortic Aneurysm Associated
with Liver Cirrhosis |
(Department of Cardiovascular Surgery, National
Cardiovascular Center, Osaka, Japan)
| Yuji Hanafusa |
Yutaka Okita |
Motomi Ando |
| Hitoshi Ogino |
Osamu Tagusari |
Kenji Minatoya |
| Soichiro Kitamura |
|
|
|
A 52-year-old man who had liver
cirrhosis sufferred ruptured thoraco-abdominal aortic aneu-rysm.
This patient was classified as having Child's class B liver cirrhosis
preoperatively. The thoracoabdominal aorta was successfully replaced
with reconstruction of the renal arteries, superior mesenteric
artery, celiac artery, and 10th intercostal artery. Omentopexy
was added. As persistent ascites continued postoperatively, peritoneovenous
shunting was performed on the 29th postoperative day. Ascites
disappeared and 20 days later the patient was discharged from
hospital and has been well for two years.
Jpn. J. Cardiovasc. Surg. 30：255-258(2001) |
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