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. 30F255-258(2001)