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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1999 October;40(5):703-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Dissecting aneurysm of the infrarenal abdominal aorta

Ruckert R. I., Ruckert J. C., Rogalla P.*, Romaniuk P.*, Muller J. M.

From the Clinic of Surgery and *Institute of Radiology Humboldt University Medical School (Charité) Berlin, Germany


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The aim of ­this ­study was to ­report the ­case of a ­patient ­with ­chronic dis­secting infra­renal abdom­inal ­aortic aneu­rysm (AAA) and to ­review the lit­er­a­ture for ­this ­rare vas­cular dis­order. The pre­op­er­a­tive assess­ment, sur­gical treat­ment, and post­op­er­a­tive ­course of a ­patient ­with a dis­secting AAA and asso­ciated ­left ­iliac ­artery dis­sec­tion ­were ana­lyzed. The lit­er­a­ture is ­reviewed ­with ­respect to eti­ology and path­o­gen­esis as ­well as diag­nostic and ther­a­peutic man­age­ment of infra­renal dis­secting AAA. The pre­op­er­a­tive diag­nosis of dis­secting infra­renal AAA was ­made by com­puted tomog­raphy and aor­tog­raphy and con­firmed ­during sur­gery. Suc­cessful ­repair was accom­plished by use of a bifur­cated ­aorto-­biiliacal ­Dacron ­graft. A ­review of the lit­er­a­ture dem­on­strates the ­rarity of dis­secting aneu­rysm exclu­sively ­involving the infra­renal ­aortic seg­ment. Pri­mary dis­secting aneu­rysm of the infra­renal abdom­inal ­aorta is a ­rare mor­pho­logic ­finding. Prin­ci­ples of diag­nostic and ther­a­peutic man­age­ment of ­common ath­e­ros­cle­rotic AAA ­also ­apply to dis­secting AAA.

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