Asian Annals
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Asian Cardiovasc Thorac Ann 2008;16:e55-e57
© 2008 Asia Publishing EXchange Ltd


CASE STUDIES

Chronic Contained Rupture of Abdominal Aortic Aneurysm

Hiroki Yokomuro, MD, Yukio Ichikawa, MD, Hirokazu Kajiwara, MD

Department of Cardiovascular Surgery, Kanagawa Cardiovascular and Respiratory Center, Yokohama, Japan

For reprint information contact: Hiroki Yokomuro, MD Tel: 81 45 701 9581 Fax: 81 45 701 9607 Email: hyokomuro{at}aol.com, 6-16-1 Tomioka-higashi, Kanazawaku, Yokohama 236-0051, Japan.

Computed tomography in a 74-year-old man with intermittent claudication revealed an abdominal aortic aneurysm, retroperitoneal hematoma, vertebral erosion, and total aortic occlusion. Surgery was delayed for 9 months after definitive diagnosis of contained rupture of the aortic aneurysm to allow treatment for ischemic heart disease and cardiac failure. After interposing a Y-shaped woven Dacron graft, the intermittent claudication was alleviated. The postoperative course was uneventful.







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