Sealed Rupture of an Internal Iliac Artery Aneurysm in a 92-Year-Old Woman Surgically Treated with Success

(Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Matsudo, Japan)

Koki Nakamura Tomohiro Asai Mikiko Murakami
Yosuke Saito Yuji Suda Hiroki Yamaguchi
A 92-year-old woman was referred to our hospital with lower abdominal pain and lumbago. Her vital signs were stable at an emergency outpatient-clinic. An enhanced CT scan showed a sealed rupture of a right internal iliac artery aneurysm (85~73mm in diameter). An emergency operation was performed via median laparotomy. As predicted pre-operatively, a large hematoma was found in the retroperitoneal space and mesenterium surrounding the right internal iliac artery aneurysm (sealed rupture). Y-grafting was performed using a 16~8mm Intergard: proximal and distal ends of the graft were the abdominal aorta and bilateral femoral arteries, respectively. Left common iliac artery, right external iliac artery and right internal arterial aneurysm were suture-closed. The postoperative course was uneventful and she was discharged on the 13th postoperative day on foot.
@Jpn. J. Cardiovasc. Surg. 36: 281-283 (2007)