Rapidly Enlarging and Asymptomatic Abdominal Aortic Aneurysm in a Male Patient with Chronic Obstructive Pulmonary Disease: A Case Report of Endovascular Aortic Aneurysm Repair (EVAR)

Authors

  • Chumpol Wongwanit Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Pramook Mutirangura Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Nitipatana Chierakul Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Walailak Chaiyasoot Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University
  • Orawan Phongraweewan Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

Keywords:

Abdominal aortic aneurysm, Chronic obstructive pulmonary disease, Endovascular aortic aneurysm repair, EVAR

Abstract

Objective: to report a case of an incidental large asymptomatic AAA in an ex-smoker with severe COPD successfully treated by EVAR and to delineate the results and complications of EVAR performed in operative theater of Siriraj Hospital.
Methods: A retrospective review of selected high-risk patients with asymptomatic AAA treated by EVAR in operative theater of our hospital from August 2003 to December 2005 was performed.
Results: All nine cases (100%), including reported case (100%), were successfully treated by EVAR. Merely one of 30-day perioperative death (11.1%), of post-operative cardiopulmonary arrest (11.1%), of early AAA rupture (11.1%), of early graft limb occlusion (11.1%), of late graft limb occlusion (11.1%), and of early type II endoleak (11.1%) took place in this study. Neither late AAA rupture, AAA sac enlargement, nor graft migration happened.
Conclusion: EVAR was achieved as a minimal invasive treatment of an incidental large asymptomatic AAA in an ex-smoker with severe COPD. Although EVAR provides an excellent alternative of AAA in high-risk patients, its high peri-operative mortality rate around 10 % should be taken into account.

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Published

01-05-2006

How to Cite

Wongwanit, C. ., Mutirangura, P. ., Chierakul, N. ., Chaiyasoot, W. ., & Phongraweewan, O. . (2006). Rapidly Enlarging and Asymptomatic Abdominal Aortic Aneurysm in a Male Patient with Chronic Obstructive Pulmonary Disease: A Case Report of Endovascular Aortic Aneurysm Repair (EVAR). Siriraj Medical Journal, 58(5), 812–818. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/245837

Issue

Vol. 58 No. 5 (2006): May

Section

Case Report

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