Successful Repair of Critical Air Leakage after Surgery for a Large Thoracoabdominal Aortic Aneurysm
10.4326/jjcvs.42.434
- VernacularTitle:肺に被覆破裂し肺修復に難渋した巨大胸腹部大動脈瘤の1例
- Author:
Hitoshi Matsumura
;
Hideichi Wada
;
Mitsuru Fujii
;
Masahiro Oosumi
;
Gou Kuwahara
;
Yuta Sukehiro
;
Noritoshi Minematsu
;
Masaru Nishimi
;
Tadashi Tashiro
- Publication Type:Journal Article
- Keywords:
thoracoabdominal aortic aneurysm;
copious air leakage;
graft replacement
- From:Japanese Journal of Cardiovascular Surgery
2013;42(5):434-437
- CountryJapan
- Language:Japanese
-
Abstract:
A 76-year-old woman with a sudden onset of chest and back pain was admitted to our hospital. Computed tomography (CT) showed a giant thoracoabdominal aortic aneurysm. Therefore, the patient underwent emergency operation. Under a left anterolateral thoracotomy and pararectal laparotomy with left heart bypass, we performed graft replacement of the thoracoabdominal aorta and reconstruction of the celiac artery, superior mesenteric artery and renal arteries. The left lung was tightly adhered to the aneurysm because of the contained rupture. Copious pulmonary bleeding and air leakage occurred due to thrombectomy of the aneurysm. During the operation, critical air leakage was repaired using the remaining aneurysmal wall. The postoperative course was uneventful. The patient was discharged 16 days after surgery. Copious air leakage due to lung injury was a potentially life-threating condition in the postoperative course of this case of thoracoabdominal aortic aneurysm. Surgical treatment of critical air leakage due to lung injury is very important in thoracic surgery.
