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An 18-cm unruptured abdominal aortic aneurysm

Abdominal aortic aneurysm (AAA) is a significant source of morbidity and ranked by the Centers for Disease Control and Prevention as the 15(th) leading cause of death among adults aged 60 to 64 years. Size confers the largest risk factor for aneurysm rupture, with aneurysms >6 cm having an annual...

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Autores principales: Droz, Nathan M., Miner, Jason, Pecchioni, Louisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757755/
https://www.ncbi.nlm.nih.gov/pubmed/29349366
http://dx.doi.org/10.1016/j.jvscit.2016.10.008
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author Droz, Nathan M.
Miner, Jason
Pecchioni, Louisa
author_facet Droz, Nathan M.
Miner, Jason
Pecchioni, Louisa
author_sort Droz, Nathan M.
collection PubMed
description Abdominal aortic aneurysm (AAA) is a significant source of morbidity and ranked by the Centers for Disease Control and Prevention as the 15(th) leading cause of death among adults aged 60 to 64 years. Size confers the largest risk factor for aneurysm rupture, with aneurysms >6 cm having an annual rupture risk of 14.1%. We present the case of a 60-year-old man found on ultrasound imaging at a health fair screening to have a 15-cm AAA. Follow-up computed tomography angiography revealed an 18-cm × 10-cm unruptured, infrarenal, fusiform AAA. Giant AAAs, defined as >11 cm, are rarely described in the literature. Our patient underwent successful transperitoneal AAA repair with inferior mesenteric artery reimplantation and was discharged home on operative day 6. We believe this case represents one of the largest unruptured AAAs in the literature and demonstrates the feasible approach for successful repair.
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spelling pubmed-57577552018-01-18 An 18-cm unruptured abdominal aortic aneurysm Droz, Nathan M. Miner, Jason Pecchioni, Louisa J Vasc Surg Cases Innov Tech Abdominal aortic aneurysm Abdominal aortic aneurysm (AAA) is a significant source of morbidity and ranked by the Centers for Disease Control and Prevention as the 15(th) leading cause of death among adults aged 60 to 64 years. Size confers the largest risk factor for aneurysm rupture, with aneurysms >6 cm having an annual rupture risk of 14.1%. We present the case of a 60-year-old man found on ultrasound imaging at a health fair screening to have a 15-cm AAA. Follow-up computed tomography angiography revealed an 18-cm × 10-cm unruptured, infrarenal, fusiform AAA. Giant AAAs, defined as >11 cm, are rarely described in the literature. Our patient underwent successful transperitoneal AAA repair with inferior mesenteric artery reimplantation and was discharged home on operative day 6. We believe this case represents one of the largest unruptured AAAs in the literature and demonstrates the feasible approach for successful repair. Elsevier 2017-03-01 /pmc/articles/PMC5757755/ /pubmed/29349366 http://dx.doi.org/10.1016/j.jvscit.2016.10.008 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Abdominal aortic aneurysm
Droz, Nathan M.
Miner, Jason
Pecchioni, Louisa
An 18-cm unruptured abdominal aortic aneurysm
title An 18-cm unruptured abdominal aortic aneurysm
title_full An 18-cm unruptured abdominal aortic aneurysm
title_fullStr An 18-cm unruptured abdominal aortic aneurysm
title_full_unstemmed An 18-cm unruptured abdominal aortic aneurysm
title_short An 18-cm unruptured abdominal aortic aneurysm
title_sort 18-cm unruptured abdominal aortic aneurysm
topic Abdominal aortic aneurysm
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757755/
https://www.ncbi.nlm.nih.gov/pubmed/29349366
http://dx.doi.org/10.1016/j.jvscit.2016.10.008
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