A Case Report of a Ruptured Abdominal Aortic Aneurysm Associated with Thrombosed Acute Type B Aortic Dissection
- VernacularTitle:血栓閉塞型急性B型大動脈解離に併発した腹部大動脈瘤破裂に対して血管内治療を行った1例
- Author:
Hironori BABA
1
;
Ayaka IWASAKI
1
;
Kosuke MORI
1
;
Eisaku NAKAMURA
1
Author Information
- Keywords: Type B acute aortic dissection; ruptured abdominal aortic aneurysm; endovascular repair; abdominal compartment syndrome
- From:Japanese Journal of Cardiovascular Surgery 2024;53(2):87-90
- CountryJapan
- Language:Japanese
- Abstract: A 70-year-old man with no outpatient history visited the local doctor with complaints of weakness of the limbs and abdominal pain on the following day after vomiting on the previous night. He was suspected to have a ruptured abdominal aortic aneurysm from a simple CT scan of the abdomen, and was transported to our hospital for emergency treatment. After a contrast-enhanced CT scan at our hospital, a thrombosed type B aortic dissection and ruptured abdominal aortic aneurysm were diagnosed, and emergency surgery was performed on the same day. Although the dissection had extended to the abdominal aortic aneurysm, abdominal aortic endovascular repair (EVAR) was performed because it was a thrombosed type B aortic dissection. After admission to the intensive care unit (ICU), the patient showed intra-abdominal hypertension and oliguria. So, we performed an emergency decompressive laparotomy against abdominal compartment syndrome (ACS). He was discharged from the ICU on the 8th day and transferred to rehabilitation on the 38th day. We report a case of a ruptured abdominal aortic aneurysm associated with thrombosed acute type B aortic dissection that was successfully treated.
