Y-graft Replacement for Ruptured of Abdominal Aortic Aneurysm in an Elderly Patient

(Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan and Second Department of Surgery, Gunma University School of Medicine*, Maebashi, Japan)

Takashi Ogino Tatsuo Kaneko Yasushi Satoh
Masahiko Ezure Yutaka Hasegawa Hirotaka Inaba
Toshiharu Yamagishi Shigeru Ohki Yasuo Morishita*
Y-graft replacement was successfully performed in a patient aged 93years with ruptured infrarenal abdominal aortic aneurysm. The patient was in shock on arrival and underwent an emergency operation with the administration of cathecholamines. The ruptured infrarenal abdominal aortic aneurysm with a large hematoma, which was located in the area of the left common iliac artery, was 10cm in the maximum diameter. The bilateral common iliac arteries were strongly calcified and occluded. The distal end of the graft was anastomosed to the external iliac artery. The patient's postoperative course was uneventful.
@Jpn. J. Cardiovasc. Surg. 32: 322 -324 (2003)