| A Case of Chronic Contained Rupture
of an Abdominal Aortic Aneurysm |
(Department of Thoracic Surgery, Sapporo City General
Hospital, Sapporo, Japan)
| Hisayoshi Osawa |
Satoru Sugimoto |
Kouji Maekawa |
| Noriyasu Watanabe |
Toshiaki Tanaka |
|
|
A 72-year-old man was referred to
our hospital because of lumbago and an abdominal aortic aneurysm
(AAA). Computed tomography revealed the AAA to be 5cm in diameter
with a retroperitoneal hematoma. A diagnosis of chronic contained
rupture of an AAA was made, and an operation was performed. At
laparotomy, a punched-out defect (10 X 20mm) that was thought
to connect the thrombosed aneurysm to an organized retroperitoneal
hematoma was discovered on the right side of the aorta. The aneurysm
was replaced with a Y-shaped prosthetic graft. The patient's
postoperative course was uneventful. This case of chronic contained
rupture of an AAA was distinctly different from cases of acute
rupture. Although patients with chronic contained rupture of
an AAA are hemodynamically stable, such cases should be assessed
and treated as quickly as possible because of the risk of re-rupture.
Jpn. J. Cardiovasc. Surg. 32：145 -147 (2003) |
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