A successful repair of a ruptured giant abdominal aortic aneurysm

IF 1.6 4区医学 Q3 PRIMARY HEALTH CARE

Primary Health Care Research and Development Pub Date : 2019-01-01 DOI:10.15761/hpc.1000172

Dragan Piljic, M. Tabaković, A. C., Dilista Piljić, N. Sehic, Tarik Bakalovic, A. Skakić, Mirza Tokic, Fahrudin Sabanovic, M. Petricevic

引用次数: 0

Abstract

A 78-year old man with a medical history of smoking, hyperlipidemia and hypertension was admitted to our department with ruptured abdominal aortic aneurysm (AAA) diagnosed by ultrasonography of the abdomen. The blood pressure was 60/20 mm Hg. An emergent computed tomography scan of the abdomen revealed a rupture of a giant infrarenal AAA of 16 cm in diameter with extensive intraluminal thrombus, evidence of rupture and large intraabdominal hematoma. The patient underwent a successful open surgical repair with placement of a Dacron tube graft 18 mm. The patient was transferred to the intensive care unit following successful surgical repair. Patient was transferred to the Department of cardiovascular surgery on postoperative day 2. Postoperative recovery resulted in hospital discharge at postoperative day 12.

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成功修复了一个破裂的巨大腹主动脉瘤

我科收治一名78岁男性，既往有吸烟、高脂血症、高血压病史，腹部超声诊断腹主动脉瘤破裂(AAA)。患者血压60/20毫米汞柱。腹部紧急计算机断层扫描显示直径16厘米的巨大肾下AAA破裂，伴广泛的腔内血栓，破裂的证据和大的腹内血肿。患者接受了成功的开放性手术修复，植入了18mm的涤纶管移植物。手术修复成功后，患者转至重症监护病房。患者于术后第2天转至心血管外科。术后12天恢复出院。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Primary Health Care Research and Development PRIMARY HEALTH CARE-

CiteScore

2.60

自引率

6.20%

发文量

119

审稿时长

33 weeks

期刊介绍： Primary Health Care Research & Development is aimed specifically at both researchers and practitioners in primary health care, bridging the gap between the two areas. It provides a forum for the publication of international, interdisciplinary research and development in primary health care. It is essential reading for all involved in primary care: nurse practitioners, GPs and health service managers; professional and local groups in community health; researchers and academics; purchasers of primary health care services; allied health practitioners in secondary services and health-related consumer groups.