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Journal of Cardiothoracic Surgery

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Open Access 01-12-2024 | Aortic Aneurysm | Case Report

Staged repair of a ruptured thoracoabdominal aortic aneurysm: a case report

Authors: Akitoshi Takazawa, Toshihisa Asakura, Hiroyuki Nakajima, Akihiro Yoshitake

Published in: Journal of Cardiothoracic Surgery | Issue 1/2024

Abstract

Background

A ruptured thoracoabdominal aortic aneurysm (rTAAA) represents a considerable challenge for surgeons. To date, endovascular procedures have not been able to completely replace open repair when debranching is required.

Case presentation

A 73-year-old man was admitted to our hospital after complaining of left lateral abdominal pain. Enhanced computed tomography revealed a left retroperitoneal hematoma and a large, ruptured Crawford type IV TAAA. We first performed emergency resuscitative surgery to close the lacerated foramen. A graft replacement was performed 1 month after the initial surgery when the patient had stabilized. At 5 years postoperatively, neither occlusion nor anastomotic pseudoaneurysm was noted on computed tomography.

Conclusions

We provide an update on the perioperative management of patients undergoing open rTAAA repair. This procedure can be considered to ensure complete repair of an rTAAA.

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Title: Staged repair of a ruptured thoracoabdominal aortic aneurysm: a case report
Authors: Akitoshi Takazawa
Toshihisa Asakura
Hiroyuki Nakajima
Akihiro Yoshitake
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Aortic Aneurysm
Aortic Aneurysm
Aneurysm
Aneurysm
Computed Tomography
Computed Tomography
Hematoma
Published in: Journal of Cardiothoracic Surgery / Issue 1/2024
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-024-02703-0

2024 ASCO Annual Meeting

Springer Medicine

Staged repair of a ruptured thoracoabdominal aortic aneurysm: a case report

Abstract

Background

Case presentation

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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