We report a rare case in which a patient required three surgeries with competing priorities. In a 68-year-old man diagnosed with an abdominal aortic aneurysm (AAA), computed tomography (CT) revealed an infrarenal AAA, unusual thickening of the sigmoid colon that suggested cancer, and a filling defect in the left atrium. We considered the disease stage, which affects prognosis, and the risk of c...

Background The traditional surgical treatment for abdominal aortic aneurysm (AAA) is now well codified in vascular surgery with a perioperative mortality rate that has gradually declining in recent years. The introduction of endovascular techniques has led the indications for surgery to be reviewed. The results of surgery in patients over eighty are fairly well defined: it is encoded that age a...

A previously healthy 82-year-old man presented with a 3-month history of bilateral lower limb oedema. Abdominal examination revealed prominent abdominal veins extending to the thigh. A large pulsatile abdominal aortic aneurysm (AAA) was noted in the epigastrium. Bilateral pitting leg oedema was noted along with a bluish discoloration of the feet. Clinical diagnosis of IVC thrombosis secondary t...

Introduction. Abdominal aortic aneurysm diameter is one of the most important parameters in diagnostic and therapeutic algorithm for follow-up. Currently, two modalities are used: open surgery endovascular repair. The aim this study to analyze impact maximum transverse abdominal on incidence general specific complications. Material Methods. retrospective included 75 patients with infrarenal who...

OBJECTIVE To determine whether intraoperative autotransfusion reduces the percentage of patients undergoing allogeneic blood transfusion. DATA SOURCES AND STUDY SELECTION Using a public domain database (MEDLINE) and a Web-based search engine (PubMed), all intraoperative autotransfusion vs control prospective randomized controlled trials that enrolled patients undergoing elective infrarenal ab...

OBJECTIVE/BACKGROUND Historical studies report high rupture rates in patients with nonoperated abdominal aortic aneurysms (AAAs) of > 5.5 cm diameter, although a recent audit has questioned this. METHODS This was a retrospective review of 138/764 (18%) patients with AAAs evaluated in a preassessment anaesthetic clinic (PAC) between 2006 and 2012, who either did not undergo elective AAA repair...

Background: We investigated the efficacy, preoperative, postoperative and early stage outcomes of Anaconda type endovascular stent-grafts in patients who had intervention in our clinic with the diagnosis of abdominal aortic aneurysm. Material – Methods: During the years of 2010 and 2013, 23 patients (19 male, 4 female) had endovascular stent-graft procedure with the diagnosis of infrarenal abdo...

OBJECTIVE To describe a contemporary series of open abdominal aortic aneurysm (AAA) repairs in patients not anatomically suitable for endovascular AAA repair. METHODS A prospectively maintained database including consecutive nonruptured open aneurysm repairs from March 1, 2000, through July 31, 2007, was reviewed. Patient demographic characteristics and perioperative outcomes were evaluated a...

Abdominal aortic aneurysms (AAAs) are the result of a progressive degenerative process characterized by elastin depletion and inflammatory changes of the aortic wall. The process leads to gradual enlargement and a localized weakening of the aorta, with eventual rupture. Risk factors include age, sex, family history, and smoking.1 The normal aortic diameter varies with age, sex, and body size. A...