Extended Retroperitoneal Approach for Ruptured Juxtarenal Abdominal Aortic Aneurysm in a Patient with a History of Laparotomy

(Department of Cardiovascular Surgery, Hokkaido University, Sapporo, Japan)

Kimihiro Yoshimoto Norihiko Shiiya Takashi Kunihara
Keishu Yasuda
We reported a successful emergency operation for ruptured juxtarenal abdominal aortic aneurysm via an extended retroperitoneal approach. A 70-year-old man with a history of distal gastrectomy and pancreatoduodenectomy complained of epigastric pain and was transferred to our emergency room in a state of shock. Computed tomograpy demonstrated a ruptured juxtarenal abdominal aortic aneurysm and massive intraperitoneal hematoma. We performed emergency graft replacement through an extended retroperitoneal approach in order to control the aorta quickly, safely, and reliably. This approach is a useful option in the emergency treatment of ruptured juxtarenal abdominal aortic aneurysm.
@Jpn. J. Cardiovasc. Surg. 34: 409-412 (2005)