CJA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
This Article
Right arrow Full Text (PDF)
Right arrow Submit a scholarly reply
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Moskowitz, D. M.
Right arrow Articles by Hollier, L. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Moskowitz, D. M.
Right arrow Articles by Hollier, L. H.

Canadian Journal of Anesthesia, Vol 46, 887-890, Copyright © 1999 by Canadian Anesthesiologists' Society

ARTICLES

Intraoperative rupture of an abdominal aortic aneurysm during an endovascular stent-graft procedure

DM Moskowitz, RA Kahn, ML Marin and LH Hollier
Department of Anesthesiology, The Mount Sinai Medical Center, New York, NY 10029, USA. dmoskowitz@smtplink.mssm.edu

PURPOSE: To highlight the risk of intraoperative rupture as a complication of endovascular aortic repair. CLINICAL FEATURES: An 81-yr-old man was admitted for endovascular aortic repair of a 6 cm infrarenal abdominal aortic aneurysm. After establishment of a conduction blockade using a combined spinal-epidural technique, a balloon-activated endovascular stent-graft was advanced to the proximal aneurysmal neck. Approximately four minutes after the stent-graft was deployed, the mean arterial pressure decreased to 30 mmHg and the heart rate increased to 135 bpm. While fluid and vasoactive medications were administered and the airway was secured, repeat aortography confirmed contrast extravasation into the retroperitoneal space at the junction of the proximal aortic neck and the aneurysm sac. The angioplasty deployment balloon was repositioned and inflated proximal to the presumed site of aortic rupture, thus providing aortic control until an open repair of the aorta was undertaken. CONCLUSION: Although endovascular stent-graft placement may be a less invasive method than conventional open aortic reconstruction, it must be recognized that the potential for devastating consequences such as aortic rupture is present.


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
L. Zhang, Q. Gong, H. Xiao, C. Tu, and J. Liu
Control of Blood Loss During Sacral Surgery by Aortic Balloon Occlusion
Anesth. Analg., September 1, 2007; 105(3): 700 - 703.
[Abstract] [Full Text] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
J. N. Ghansah and J. T. Murphy
Complications of Major Aortic and Lower Extremity Vascular Surgery
Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2004; 8(4): 335 - 361.
[Abstract] [PDF]

Home page
 SEMIN CARDIOTHORAC VASC ANESTHHome page
D. C. Santamore, C. L. Saldanha, and W. P. Santamore
Endovascular Repair of the Abdominal Aortic Aneurysm
Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2003; 7(2): 213 - 222.
[Abstract] [PDF]

Home page
 Anesth. Analg.Home page
M. Zaugg, M. L. Lachat, T. Pfammatter, G. Cathomas, and E. R. Schmid
Sudden Respiratory Arrest Resulting From Brainstem Embolism in a Patient Undergoing Endovascular Abdominal Aortic Aneurysm Repair
Anesth. Analg., February 1, 2001; 92(2): 335 - 337.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Roentgenol.Home page
J. A. Kaufman, S. C. Geller, D. C. Brewster, C.-M. Fan, R. P. Cambria, G. M. LaMuraglia, J. P. Gertler, W. M. Abbott, and A. C. Waltman
Endovascular Repair of Abdominal Aortic Aneurysms: Current Status and Future Directions
Am. J. Roentgenol., August 1, 2000; 175(2): 289 - 302.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1999 by the Canadian Anesthesiologists' Society.