A Ruptured Abdominal Aortic Aneurysm with Cardiopulmonary Arrest Survived from MOF following Bowel Necrosis
10.4326/jjcvs.34.268
- VernacularTitle:術後に腸管壊死，多臓器不全を合併した院外心肺停止腹部大動脈りゅう破裂の１救命例
- Author:
Masato Tochii
;
Hitoshi Matsuda
;
Hitoshi Ogino
;
Kenji Minatoya
;
Hiroaki Sasaki
;
Hitoshi Inafuku
;
Hideaki Imanaka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2005;34(4):268-271
- CountryJapan
- Language:Japanese
-
Abstract:
A 61-year-old man fell into out-of hospital cardiopulmonary arrest due to rupture of an abdominal aortic aneurysm, and was resuscitated onsite. On arrival at the emergency room, a fusiform type abdominal aortic aneurysm and massive hematoma in the retro-peritoneal space were detected by ultrasonography. Quickly, an aortic occlusion balloon catheter was placed at the proximal site of abdominal aorta through the left brachial artery, and then graft replacement of the aneurysm was carried out. The inferior mesenteric artery was occluded, and was not reconstructed. Five hours after the operation, left hemi-colectomy was carried out for ischemic necrosis of the descending to sigmoid colon. Although he was complicated by multiple organ failure; renal failure, liver dysfunction, severe infection, and brain infarction, he survived without a fatal disability. A rare case with ruptured abdominal aortic aneurysm who fell into cardiopulmonary arrest outside the hospital but survived after bowel necrosis and multiple organ failure is reported.
