2.Experience on surgical management of rupture of abdominal aortic aneurysm.
Guan HENG ; Zheng YUEHONG ; Li YONGJUN ; Liu CHANGWEI ; Liu BAO ; Ye WEI
Chinese Medical Sciences Journal 2003;18(2):116-119
OBJECTIVETo describe our surgical experience on rupture of abdominal aortic aneurysm.
METHODSTwo cases of ruptured aortic aneurysms with severe complication were analysed. Aorta reconstruction procedures were performed using bifurcated e-PTFE grafts during emergency operation. Diagnosis, preoperative resuscitation, emergency surgical intervention, and postoperative complications of these patients were summarized and discussed.
RESULTSRupture of aortic aneurysm in both patients presented as a huge retroperitoneum haematoma by computed tomography scan. They were successfully saved by prompt body fluid compensation, emergency procedure, intraoperative resuscitation, and postoperative intensive care.
CONCLUSIONSCorrect diagnosis, prompt surgical management, immediate intraoperative proximal aorta clamping during procedure, and effective management of postoperative complications were the key points to successful treatment of ruptured aortic aneurysm.
Aged ; Aortic Aneurysm, Abdominal ; diagnosis ; surgery ; Aortic Rupture ; diagnosis ; surgery ; Follow-Up Studies ; Humans ; Male ; Postoperative Complications ; therapy
4.Cytomegalovirus Infection-related Spontaneous Intestinal Perforation and Aorto-enteric Fistula after Abdominal Aortic Aneurysmal Repair.
Su Young AHN ; Sun Young LEE ; Bum Sung KIM ; Kyoung Hoon RHEE ; Jeong Hwan KIM ; In Kyung SUNG ; Hyung Seok PARK ; Choon Jo JIN
The Korean Journal of Gastroenterology 2010;55(1):62-67
Gastrointestinal complications (GI) after thoracoabdominal aortic repair can be classified as biliary disease, heptic dysfunction, pancreatitis, GI bleeding, peptic ulcer disease, bowel ischemia, paralytic ileus, and aortoenteric fistula. Theses complications are associated with high post operative morbidity and mortality. Most of the aortoenteric fistulae after thoracoabdominal aortic surgery are found at the duodenum, near the surgical site. These rare complications are caused by an indirect communication with abdominal aorta that originated from an aneursymal formation ruptured into the duodenum. Such aorto-duodenal fistula formation is considered as a result of inflammatory change from secondary infection near the surgical instruments. Herein, we report two cases of massive upper GI bleeding from aorto-duodenal fistulae and spontaneous lower GI perforation related to cytomegalovirus infection after abdominal aortic aneurysmal repair operations.
Aged
;
Aged, 80 and over
;
Aorta, Abdominal/*surgery
;
Aortic Aneurysm, Abdominal/complications/*surgery
;
Aortic Diseases/*diagnosis/surgery/virology
;
Cytomegalovirus Infections/*complications/diagnosis/pathology
;
Endoscopy, Gastrointestinal
;
Gastrointestinal Hemorrhage/etiology
;
Humans
;
Intestinal Fistula/*diagnosis/surgery/virology
;
Intestinal Perforation/*diagnosis/virology
;
Male
;
Vascular Fistula/*diagnosis/surgery/virology
5.Cytomegalovirus Infection-related Spontaneous Intestinal Perforation and Aorto-enteric Fistula after Abdominal Aortic Aneurysmal Repair.
Su Young AHN ; Sun Young LEE ; Bum Sung KIM ; Kyoung Hoon RHEE ; Jeong Hwan KIM ; In Kyung SUNG ; Hyung Seok PARK ; Choon Jo JIN
The Korean Journal of Gastroenterology 2010;55(1):62-67
Gastrointestinal complications (GI) after thoracoabdominal aortic repair can be classified as biliary disease, heptic dysfunction, pancreatitis, GI bleeding, peptic ulcer disease, bowel ischemia, paralytic ileus, and aortoenteric fistula. Theses complications are associated with high post operative morbidity and mortality. Most of the aortoenteric fistulae after thoracoabdominal aortic surgery are found at the duodenum, near the surgical site. These rare complications are caused by an indirect communication with abdominal aorta that originated from an aneursymal formation ruptured into the duodenum. Such aorto-duodenal fistula formation is considered as a result of inflammatory change from secondary infection near the surgical instruments. Herein, we report two cases of massive upper GI bleeding from aorto-duodenal fistulae and spontaneous lower GI perforation related to cytomegalovirus infection after abdominal aortic aneurysmal repair operations.
Aged
;
Aged, 80 and over
;
Aorta, Abdominal/*surgery
;
Aortic Aneurysm, Abdominal/complications/*surgery
;
Aortic Diseases/*diagnosis/surgery/virology
;
Cytomegalovirus Infections/*complications/diagnosis/pathology
;
Endoscopy, Gastrointestinal
;
Gastrointestinal Hemorrhage/etiology
;
Humans
;
Intestinal Fistula/*diagnosis/surgery/virology
;
Intestinal Perforation/*diagnosis/virology
;
Male
;
Vascular Fistula/*diagnosis/surgery/virology
6.Reference Diameters of the Abdominal Aorta and Iliac Arteries in the Korean Population.
Jin Hyun JOH ; Hyung Joon AHN ; Ho Chul PARK
Yonsei Medical Journal 2013;54(1):48-54
PURPOSE: It is important to know the normal diameter of artery throughout the body so that clinicians are able to determine when an artery becomes aneurysmal. However, there are no previous studies on the normal diameter of arteries in the general Korean population. The purpose of this article is to determine the normal reference diameters of the abdominal aorta and iliac arteries in the Korean population. MATERIALS AND METHODS: We recruited the study population from three cities in Korea for the abdominal aortic aneurysm (AAA) screening. We measured the diameter of the aorta and iliac arteries. We analyzed the reference diameter of the population without AAA. The results were analyzed by Student's t-test and ANOVA on SPSS version 19. A p value <0.05 was considered to be statistically significant. RESULTS: One thousand two hundred and twenty-nine people were enrolled. 478 men and 751 women, with a mean age of 63.9+/-10.1 years (range 50 to 91) were examined. Eleven out of 1229 (0.89%) were diagnosed with AAA. In the population of 1218 people without AAA, the mean diameters (cm) of male/female were 2.20/2.11 (p<0.001) at suprarenal, 2.04/1.90 (p<0.001) at renal, 1.90/1.79 (p<0.001) at infrarenal, 1.22/1.17 (p<0.001) at right iliac and 1.47/1.15 (p=0.097) at the left iliac, respectively. There was a significantly larger diameter in the male population. The diameter of each level increased with age. CONCLUSION: The normal reference diameter of the infrarenal abdominal aorta in the Korean population is 1.9 cm in males and 1.79 cm in females. The diameter of the abdominal aorta increases with age.
Age Factors
;
Aged
;
Aged, 80 and over
;
Aorta, Abdominal/*anatomy & histology/ultrasonography
;
Aortic Aneurysm, Abdominal/diagnosis/epidemiology
;
Female
;
Humans
;
Hypertension/complications
;
Iliac Artery/*anatomy & histology
;
Male
;
Middle Aged
;
Reference Values
;
Republic of Korea
;
Risk Factors