Endovascular aneurysm repair for an abdominal aortic aneurysm and a left ruptured common iliac artery aneurysm in a patient with hepatocellular carcinoma: report of a case

被引：0
作者：
Ryoichi Kyuragi
Takuya Matsumoto
Jun Okadome
Eisuke Kawakubo
Kenichi Homma
Kazuomi Iwasa
Atsushi Guntani
Jin Okazaki
Yoshihiko Maehara
机构：
[1] Graduate School of Medical Sciences,Department of Surgery and Science
[2] Kyushu University,undefined
来源：
Surgery Today | 2014年 / 44卷
关键词：
Endovascular aneurysm repair; Abdominal aortic aneurysm; Hepatocellular carcinoma; Local anesthesia;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
We performed an endovascular aneurysm repair (EVAR) for an abdominal aortic aneurysm (AAA) and a ruptured common iliac artery aneurysm (rCIAA) in a patient complicated by severe liver dysfunction due to obstructive jaundice resulting from hepatocellular carcinoma (HCC). A 68-year-old male presented with acute lower abdominal pain. Abdominal computed tomography (CT) showed a 4.5-cm infrarenal AAA, a 6.0-cm left rCIAA with retroperitoneal hematoma and a 13-cm mass in the liver, which was suspected to be HCC. His laboratory data showed severe liver dysfunction. An emergency EVAR was done under local anesthesia because of his liver dysfunction. He was transferred to another hospital without any complications.
引用
收藏
页码：1548 / 1551
页数：3
相关论文
共 74 条
  • [1] Smith SJ(1989)Renal cell carcinoma: earlier discovery and increased detection Radiology 170 699-703
  • [2] Bosniak MA(1967)Coincidental malignancy and abdominal aortic aneurysm Arch Surg 95 402-412
  • [3] Megibow AJ(1993)Management of concomitant abdominal aortic aneurysm and gastrointestinal malignancy Am J Surg 166 108-111
  • [4] Hulnick DH(1999)Surgical strategy for abdominal aortic aneurysm with concurrent symptomatic malignancy World J Surg 23 248-251
  • [5] Horii SC(2000)A simultaneous resection of a concomitant abdominal aortic aneurysm and hepatocellular carcinoma: two cases Int Surg 85 152-157
  • [6] Raghavendra BN(1995)Initial experience with transluminally placed endovascular grafts for the treatment of complex vascular lesions Ann Surg 222 449-465
  • [7] Szilagyi DA(2009)Collected world and single center experience with endovascular treatment of ruptured abdominal aortic aneurysms Ann Surg 250 818-824
  • [8] Elliott JP(2003)for the Excluder Bifurcated Endoprosthesis investigators. A multicenter controlled clinical trial of open versus endovascular treatment of abdominal aortic aneurysm J Vasc Surg 37 262-271
  • [9] Berguer R(2004)Clinical effect of abdominal aortic aneurysm endografting: 7-year concurrent comparison with open repair J Vasc Surg 40 841-848
  • [10] Komori K(2001)Prognosis of patients turned down for conventional abdominal aortic aneurysm repair in the endovascular and sonographic era: Szilagyi revisited? J Vasc Surg 33 752-757
12345678