Combined emergency abdominal aortic aneurysm repair and valve replacement in a patient with severe aortic stenosis
| Autor: | Harj S. Rayt, Manuel Galiñanes, Akhtar Nasim, Greg S. McMahon |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Myocardial ischemia medicine.medical_treatment Aortic Rupture Aneurysm Aortic valve replacement Valve replacement Internal medicine medicine Humans cardiovascular diseases Aortic rupture Aged business.industry Open surgery Endovascular Procedures General Medicine Aortic Valve Stenosis medicine.disease Abdominal aortic aneurysm Surgery Stenosis Aortic Valve Heart Valve Prosthesis cardiovascular system Cardiology Female Emergencies Cardiology and Cardiovascular Medicine business Aortic Aneurysm Abdominal Follow-Up Studies |
| Zdroj: | Annals of vascular surgery. 26(4) |
| ISSN: | 1615-5947 |
| Popis: | Simultaneous open surgery has been advocated in the elective management of abdominal aortic aneurysm patients with significant ischemic heart disease, as staged procedures risk worsening myocardial ischemia or aortic rupture, depending on which is the first intervention. The argument for combined aneurysm and valve repair is less established. We describe the case of a 70-year-old female who while awaiting aortic valve replacement suffered rupture of an abdominal aortic aneurysm. The patient was successfully managed with emergency combined open abdominal aortic aneurysm repair and open aortic valve replacement. We would advocate that such a strategy be considered as a salvage technique in similarly difficult management dilemmas. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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