A Case of Ruptured Abdominal Aortic Aneurysm with Intraoperative Cardiac Arrest

(Department of Cardiovascular Surgery, Nishinomiya Watanabe Hospital, Nishinomiya, Japan)

Seiichiro Minohara Koutaro Tsunemi
We report a case of emergency operation for ruptured abdominal aortic aneurysm with intraoperative cardiac arrest. The patient was a 71-year-old man with a past history of CABG and total gastrectomy. A transperitoneal approach was used for operation. Intraoperatively, a large retroperitoneal hematoma and intestinal adhesion were found. This large retroperitoneal hematoma increased, followed by cardiac arrest. Immediately left thoracotomy, direct cardiac massage and digital compression to the descending aorta were performed. After aneurysmal opening, an occlusion balloon was inserted in descending aorta. The infrarenal aorta was exposed and clamped. Cardiopulmonary resuscitation was successful. The aneurysm was replaced with a bifurcated artificial vessel and distal anastomosis to the bilateral femoral arteries. There were no signs of cardiac or renal failure in the early postoperative period. The postoperative recovery was successful.
@Jpn. J. Cardiovasc. Surg. 34: 148-151 (2005)