A Nonagenarian with Ruptured Common Iliac Artery Aneurysm and Cardiopulmonary Arrest

iDepartment of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japanj

Norikazu Kawai Hisato Takagi Hideaki Manabe
Shin-nosuke Goto Takuya Umemoto
A 95-year-old man suffered repeated episodes of loss of consciousness. Ruptured abdominal aortic aneurysm with giant retroperitoneal hematoma was diagnosed by computed tomography scans, and was referred to our hospital for surgical management. As he was about to be transported cardiopulmonary arrest developed, and emergency operation was started under resuscitation for pulseless electrical activity condition. We found a left common iliac artery aneurysm intraoperatively. We improved his hemodynamics by clamping the infrarenal abdominal aorta, and performed replacement of the left common iliac artery with a tube graft as quickly as possible. We inserted an intestinal drainage tube because of the expected high intraperitoneal pressure which caused by marked edema of the intestinal tract. He was weaned from respiratory support on the 5th postoperative day. He could walk on his own and was successfully discharged on the 28th postoperative day.
  Jpn. J. Cardiovasc. Surg. 38:297-299i2009j