Recurrent Suprarenal Abdominal Aortic Aneurysm(AAA) after Repair Infrarenal AAA.
10.4326/jjcvs.26.334
- VernacularTitle:腹部大動脈りゅう術後の腎動脈上腹部大動脈りゅうに対する再手術例
- Author:
Hideaki Maeda
;
Nanao Negishi
;
Motomi Shiono
;
Yoshiyuki Ishii
;
Seiryu Niino
;
Yukihiro Orime
;
Hideo Kohno
;
Tatsuya Inoue
;
Yukiyasu Sezai
- Publication Type:Journal Article
- Keywords:
Biopump
- From:Japanese Journal of Cardiovascular Surgery
1997;26(5):334-337
- CountryJapan
- Language:Japanese
-
Abstract:
We encountered a recurrent suprarenal abdominal aortic aneurysm (AAA) patient with coronary artery disease and hyperlipidemia after repair of infrareanal AAA. A 72-year-old woman complaining of an abdominal throbbing mass was admitted. Computed tomography (CT) and aortography revealed infrarenal AAA which was totally removed and Dacron graft was replaced. The patient was followed as an outpatient. At the time of initial graft replacement there was no remarkable aneurysmal change in suprarenal abdominal aorta. Five years after the initial operation, a suprarenal AAA 5cm in diameter was detected by ultra sonographic examination. CT scan and aortography confirmed suprarenal AAA involving the celiac trunk of the supramesenteric artery and renal artery. Redo AAA operation with reconstruction of these branches was performed under V-A bypass support in a thoracoabdominal approach. Slight renal and liver dysfunction occurred postoperatively. However, serum creatine GOT and GPT values normalized by the ninth postoperative day. Postoperative aortography revealed patency of all branches.
