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Unusual case of successful treatment of a ruptured thoracoabdominal aneurysm in elderly woman
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Abstract
We describe a case of a 76-year-old woman who underwent emergent surgery for ruptured thoracoabdominal aneurysm with the use of partial left heart bypass. Dacron prosthesis was implanted into the thoracic and abdominal aorta (up to its bifurcation), and four visceral arteries were reimplanted into the prosthesis. The procedure of implanting the prosthesis into the thoracic part of the descending aorta was supported by left heart bypass. The patient’s postoperative course was complicated by spinal cord ischaemia-induced lower extremities paraparesis. On the 26th postoperative day, she was referred to the regional neurological rehabilitation centre.
Abstract
We describe a case of a 76-year-old woman who underwent emergent surgery for ruptured thoracoabdominal aneurysm with the use of partial left heart bypass. Dacron prosthesis was implanted into the thoracic and abdominal aorta (up to its bifurcation), and four visceral arteries were reimplanted into the prosthesis. The procedure of implanting the prosthesis into the thoracic part of the descending aorta was supported by left heart bypass. The patient’s postoperative course was complicated by spinal cord ischaemia-induced lower extremities paraparesis. On the 26th postoperative day, she was referred to the regional neurological rehabilitation centre.
Keywords
ruptured thoracoabdominal aneurysm, surgery, partial cardiac bypass, complications, outcomes


Title
Unusual case of successful treatment of a ruptured thoracoabdominal aneurysm in elderly woman
Journal
Issue
Article type
Case report
Pages
129-131
Published online
2016-06-23
Page views
880
Article views/downloads
1042
DOI
Bibliographic record
Acta Angiologica 2015;21(4):129-131.
Keywords
ruptured thoracoabdominal aneurysm
surgery
partial cardiac bypass
complications
outcomes
Authors
Grzegorz Oszkinis
Bartlomiej Perek
Anna Perek
Malgorzata Ladzinska
Lukasz Kruszyna