Successful Open Surgical Repair and Postoperative Complications for Ruptured Abdominal Aortic Aneurysm Transferred with Intra-aortic Balloon Occlusion Catheter

Takanori Shibukawa＊	Takashi Shirakawa＊	Takahiro Omori＊
Nobuo Sakagoshi＊

（Department of Cardiovascular Surgery, Kinan Hospital, Tanabe, Japan）

A 74-year old man, presented with dyspnea following acute abdominal pain, was admitted to an initial hospital. The plain computed tomography（CT）scan revealed a ruptured abdominal aortic aneurysm（AAA). Emergency insertion of intra-aortic balloon occlusion（IABO）catheter was carried out due to his unstable hemodynamic condition. The patient was transferred to our hospital after surgical consultation. Open surgical repair was carried out, and massive retroperitoneal hematoma and excessive bowel edema made it difficult to close the abdomen primarily. Delayed closure following Open Abdomen Management（OAM）was effective.

 

Jpn. J. Cardiovasc. Surg. 49:228-232（2020）

Keywords：ruptured abdominal aortic aneurysm;intra-aortic balloon occlusion;Open Abdomen Management