A Case of Ruptured Abdominal Aortic Aneurysm with Intraoperative Cardiac Arrest
10.4326/jjcvs.34.148
- VernacularTitle:術中心停止にいたった腹部大動脈りゅう破裂の１救命例
- Author:
Seiichiro Minohara
;
Koutaro Tsunemi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2005;34(2):148-151
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of emergency operation for ruptured abdominal aortic aneurysm with intraoperative cardiac arrest. The patient was a 71-year-old man with a past history of CABG and total gastrectomy. A transperitoneal approach was used for operation. Intraoperatively, a large retroperitoneal hematoma and intestinal adhesion were found. This large retroperitoneal hematoma increased, followed by cardiac arrest. Immediately left thoracotomy, direct cardiac massage and digital compression to the descending aorta were performed. After aneurysmal opening, an occlusion balloon was inserted in descending aorta. The infrarenal aorta was exposed and clamped. Cardiopulmonary resuscitation was successful. The aneurysm was replaced with a bifurcated artificial vessel and distal anastomosis to the bilateral femoral arteries. There were no signs of cardiac or renal failure in the early postoperative period. The postoperative recovery was successful.
