Bilateral Retroperitoneal Approach to Repairing a Ruptured Right Iliac Artery Aneurysm in a Patient who has Undergone Transperitoneal Abdominal Surgery

An 84-year-old woman with a history of surgery for cholangiocarcinoma presented to Akita University Hospital with severe right lower abdominal pain, respiratory distress, and hypotension. Computed tomography scanning revealed a ruptured right common iliac artery aneurysm with a massive right retrope...

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Veröffentlicht in:Annals of Thoracic and Cardiovascular Surgery 2011/04/25, Vol.17(2), pp.204-207
Hauptverfasser: Yamamoto, Hiroshi, Yamamoto, Fumio, Fukuhiro, Yoshiaki, Yamaura, Gembu, Ishibashi, Kazuyuki, Motokawa, Mamika, Tanaka, Fuminobu
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container_end_page 207
container_issue 2
container_start_page 204
container_title Annals of Thoracic and Cardiovascular Surgery
container_volume 17
creator Yamamoto, Hiroshi
Yamamoto, Fumio
Fukuhiro, Yoshiaki
Yamaura, Gembu
Ishibashi, Kazuyuki
Motokawa, Mamika
Tanaka, Fuminobu
description An 84-year-old woman with a history of surgery for cholangiocarcinoma presented to Akita University Hospital with severe right lower abdominal pain, respiratory distress, and hypotension. Computed tomography scanning revealed a ruptured right common iliac artery aneurysm with a massive right retroperitoneal hematoma and a right internal iliac artery aneurysm. Under the bilateral retroperitoneal approach, we preformed an in-situ repair of an aneurysm rupture from the aorta to the left common and right external iliac arteries using a bifurcated knitted Dacron graft, and then we ligated the right internal iliac artery. The postoperative course of the patient was uneventful. The patient was discharged from hospital 52 days after surgery. In conclusion, a bilateral retroperitoneal approach may be a safe and useful strategy for in-situ repair of a right iliac artery aneurysm rupture in patients with peritoneal adhesions after transperitoneal abdominal surgery.
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In conclusion, a bilateral retroperitoneal approach may be a safe and useful strategy for in-situ repair of a right iliac artery aneurysm rupture in patients with peritoneal adhesions after transperitoneal abdominal surgery.</description><subject>Aged, 80 and over</subject><subject>Aneurysm, Ruptured - diagnostic imaging</subject><subject>Aneurysm, Ruptured - surgery</subject><subject>bilateral retroperitoneal approach</subject><subject>Bile Duct Neoplasms - surgery</subject><subject>Bile Ducts, Intrahepatic - surgery</subject><subject>Biliary Tract Surgical Procedures - adverse effects</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Cholangiocarcinoma - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Iliac Aneurysm - diagnostic imaging</subject><subject>Iliac Aneurysm - surgery</subject><subject>iliac aneurysm rupture</subject><subject>Ligation</subject><subject>Peritoneal Cavity - surgery</subject><subject>Polyethylene Terephthalates</subject><subject>Prosthesis Design</subject><subject>Retroperitoneal Space - surgery</subject><subject>Tissue Adhesions</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1341-1098</issn><issn>2186-1005</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkcFu1DAQQC0EotvCnRPyjdMutuM4yXGpKK1UCbS052jizCauEieMHaH9En4XL1tW9cGekd88azyMfZBikxdGfoZow8bSJuVC5rl8xVZKlmYthchfs5XMtExxVV6wyxCehMhKY8RbdqFkXhVa6RX788UNEJFg4DuMNM1ILk4eU76dZ5rA9jxO6W4GR853HPhumeNC2PKd6_rI7wYHlm8pSQ5863GhQxi584n8AdGhj_x3P_EeAn_0LVKX7PyBwIeXbzXtNDqfop8Ldcn0jr3ZwxDw_fN5xR5vvj5c367vv3-7u97er22ui7humqq0hTZZ2SptdGG0VS1AAShVI6GCvYS0VCarSjRNXqnGpr6l0gpbI3V2xT6dvKnXXwuGWI8uWBwG8DgtoS5NKZTJcpVIcSItTSEQ7uuZ3Ah0qKWoj9Ooj9OoLR3zf9NIJR-f5UszYnsu-P_9Cbg5AU8hQodnACg6O-DJKItaHbcX5jNge6AaffYXo8KjPA</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Yamamoto, Hiroshi</creator><creator>Yamamoto, Fumio</creator><creator>Fukuhiro, Yoshiaki</creator><creator>Yamaura, Gembu</creator><creator>Ishibashi, Kazuyuki</creator><creator>Motokawa, Mamika</creator><creator>Tanaka, Fuminobu</creator><general>The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>Bilateral Retroperitoneal Approach to Repairing a Ruptured Right Iliac Artery Aneurysm in a Patient who has Undergone Transperitoneal Abdominal Surgery</title><author>Yamamoto, Hiroshi ; 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subjects Aged, 80 and over
Aneurysm, Ruptured - diagnostic imaging
Aneurysm, Ruptured - surgery
bilateral retroperitoneal approach
Bile Duct Neoplasms - surgery
Bile Ducts, Intrahepatic - surgery
Biliary Tract Surgical Procedures - adverse effects
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Blood Vessel Prosthesis Implantation - methods
Cholangiocarcinoma - surgery
Female
Humans
Iliac Aneurysm - diagnostic imaging
Iliac Aneurysm - surgery
iliac aneurysm rupture
Ligation
Peritoneal Cavity - surgery
Polyethylene Terephthalates
Prosthesis Design
Retroperitoneal Space - surgery
Tissue Adhesions
Tomography, X-Ray Computed
Treatment Outcome
title Bilateral Retroperitoneal Approach to Repairing a Ruptured Right Iliac Artery Aneurysm in a Patient who has Undergone Transperitoneal Abdominal Surgery
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