Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity

Autor: Divij Jayant, Arunanshu Behera, Cherring Tandup, Satish Subbiah Nagaraj, Saroj Yadav
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Indian Journal of Vascular and Endovascular Surgery, Vol 9, Iss 5, Pp 397-400 (2022)
Druh dokumentu: article
ISSN: 0972-0820
2394-0999
DOI: 10.4103/ijves.ijves_54_22
Popis: Although abdominal aortic aneurysm (AAA) is common in the atherosclerotic aorta in the elderly, isolated AAA (IAAA) is a rare entity. Only few case reports of IAAA associated with concomitant dissection are reported in the literature. Here, we present a case of a middle-aged male who presented with abdominal pain with stable hemodynamics. Abdominal examination revealed a pulsatile mass in the left paraumbilical region. CT angiography of the abdomen revealed an isolated infrarenal AAA with dissection extending into the bilateral common iliac arteries and an eccentric partial thrombosis of the false lumen. The patient underwent successful open aneurysmorrhaphy with PTFE graft. Postoperative course was uneventful, and the patient was discharged to follow up in clinics.
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