Retroperitoneal Approach in the Emergency Treatment of Ruptured Abdominal Aortic Aneurysms.
10.4326/jjcvs.25.64
- VernacularTitle:破裂性腹部大動脈りゅうに対する腹膜外到達法緊急手術 自験例における適応の検討
- Author:
Tetsuro Morota
;
Motomi Ando
;
Yutaka Okita
;
Hidenori Yoshitaka
;
Yoshio Nakayama
;
Shinichi Takamoto
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1996;25(1):64-66
- CountryJapan
- Language:Japanese
-
Abstract:
Two cases of ruptured abdominal aortic aneurysm (AAA) treated with retroperitoneal approach are presented. Case 1 was a 73-year-old man with an infrarenal AAA of 44mm in diameter, and case 2 was a 73-year-old man with a 54mm pseudoaneurysm after graft replacement for AAA. Both patients had a history of previous laparotomy and their aneurysms had ruptured into only the right retroperitoneal space. A left retroperitoneal approach permitted wide and rapid exposure of the aorta with minimal damage to the intestines and respiratory function. Their postoperative courses were uneventful.