A Case of Chronic Contained Rupture of Infrarenal Abdominal Aortic Aneurysm.
10.4326/jjcvs.25.71
- VernacularTitle:腰椎破壊をきたした腹部大動脈りゅう
- Author:
Noriyasu Morikage
;
Kohji Dairaku
;
Yuji Fujita
;
Shuji Toyota
;
Kohichi Yoshimura
;
Kentaro Fujioka
;
Nobuya Zempo
;
Kensuke Esato
- Publication Type:Journal Article
- Keywords:
chronic contained rupture
- From:Japanese Journal of Cardiovascular Surgery
1996;25(1):71-73
- CountryJapan
- Language:Japanese
-
Abstract:
A chronic contained rupture of an infrarenal abdominal aortic aneurysm eroded a lumbar vertebra. A 53-year-old man complained of severe back pain for 6 months. Recently the back pain had increased. The patient looked well but a pulsatile mass in the abdomen was palpable. A CT and MRI of the abdomen and lumbar spine revealed the infrarenal abdominal aneurysm which demonstrated destruction of the third and fourth lumbar vertebra. At operation, there was a true aneurysm of the native aorta with a rupture of the posterior wall, resulting in a retroperitoneal hematoma. An orifice of the ruptured pseudoaneurysma was 2×2cm in size. An aortobiiliac graft was implanted. The patient did well postoperatively and was discharged on the 32nd postoperative day.
