Extended Retroperitoneal Approach for Ruptured Juxtarenal Abdominal Aortic Aneurysm in a Patient with a History of Laparotomy
10.4326/jjcvs.34.409
- VernacularTitle:拡大後腹膜経路が有用であった胃切除術後・すい頭十二指腸切除術後の傍腎動脈腹部大動脈りゅう破裂手術
- Author:
Kimihiro Yoshimoto
;
Norihiko Shiiya
;
Takashi Kunihara
;
Keishu Yasuda
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2005;34(6):409-412
- CountryJapan
- Language:Japanese
-
Abstract:
We reported a successful emergency operation for ruptured juxtarenal abdominal aortic aneurysm via an extended retroperitoneal approach. A 70-year-old man with a history of distal gastrectomy and pancreatoduodenectomy complained of epigastric pain and was transferred to our emergency room in a state of shock. Computed tomograpy demonstrated a ruptured juxtarenal abdominal aortic aneurysm and massive intraperitoneal hematoma. We performed emergency graft replacement through an extended retroperitoneal approach in order to control the aorta quickly, safely, and reliably. This approach is a useful option in the emergency treatment of ruptured juxtarenal abdominal aortic aneurysm.
