Two operative cases of abdominal aortic aneurysm with isolated dissection of the abdominal aorta

VernacularTitle:Two operative cases of abdominal aortic aneurysm with isolated dissection of the abdominal aorta
Author: Naoki TAKENO ¹ ; Yasuyuki SHIMADA ² ; Yasushi TERADA ²
Author Information

1. Department of General Medicine, Shonai-Amarume Hospital, Japan
2. Department of Cardiovascular Surgery, Shonai-Amarume Hospital, Japan
Keywords: isolated abdominal aortic dissection; abdominal aortic aneurysm; penetrating atherosclerotic ulcers; surgery
From:Journal of Rural Medicine 2021;16(2):115-118
CountryJapan
Language:English
Abstract: Objective: Isolated abdominal aortic dissection (IAAD) co-occurring with an abdominal aortic aneurysm (AAA) is rather rare. The objective of this report was to discuss the adequate timing and method of surgery for this condition.Patients: We encountered two operative cases, for which we carefully considered the timing and method of surgery. One patient underwent open repair 1 month after the onset, and the other patient underwent endovascular aneurysm repair (EVAR) 3 years after the onset.Results: Both patients had a good postoperative recovery and are doing well 8 months after the surgery.Conclusion: The presence of symptoms or an increase in the diameter of an AAA is important in determining the timing of intervention.