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首页> 外文期刊>Journal of Clinical Sciences >Surgical management of massive abdominal aortic aneurysms – A case report
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Surgical management of massive abdominal aortic aneurysms – A case report

机译：大规模腹主动脉瘤的手术管理 - 案例报告

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Abdominal aortic aneurysm (AAA) is the pathologic local dilation of the abdominal aorta in which the aortic diameter is ≥ 3.0 cm. Despite reports of increased incidence worldwide, there is a paucity of reports from Nigeria. We report a case series of patients with massive abdominal aortic aneurysms (AAA) to create awareness, document unusual presentation and the peculiar challenges to management in our practice. We reviewed two consecutive patients with AAA who had open repair. Medical records of the patients were used to retrieve data including age at surgery, presenting symptoms, indication for surgery, pre-operative work up imaging, intra-operative events, post-operative complications, and follow-up up to seven 7 years postoperatively. The two patients had delayed presentations due to initial misdiagnosis. The first patient had a contained posterior rupture while the second case presented unusually with obstructive jaundice. Diagnosis and planning of surgery were aided by CT angiography and both patients had open repair with use of bifurcated Goretex grafts. Following repair, the obstructive jaundice picture resolved in the second patient. Abdominal aortic aneurysms presented late with large sizes possibly due to poor awareness of available care. Epigastric pain, pruritus and obstructive jaundice may be presenting symptoms of a large aneurysm. We recommend careful attention to the choice of operative strategy, as influenced by anatomic features of the AAA and a coherent interdisciplinary team for successful outcomes.
机译：腹主动脉瘤（AAA）是腹主动脉的病理局部扩张，其中主动脉直径≥3.0厘米。尽管全世界发病率增加，但尼日利亚的报告有缺乏报道。我们向案例系列患有巨大的腹主动脉动脉瘤（AAA）举报，以创造意识，文档不寻常的陈述和我们在我们实践中对管理的特殊挑战。我们审查了两个开放修理的AAA连续两名患者。患者的病历用于检索手术时年龄的数据，提出症状，手术迹象，术前锻炼成像，手术事件，手术后的事件，术后术后并发症，以及术后最多7年的后续七年。由于初始误诊，这两名患者延迟了介绍。第一例患者具有含有的后部破裂，而第二种情况与阻塞性黄疸不同。手术的诊断和规划辅助CT血管造影，双方患者使用分叉的Goretex移植物进行开放修复。修复后，阻塞性的Jaundice图片在第二名患者中得到解决。由于可用护理的意识较差，可能会呈现大尺寸晚期的腹主动脉瘤。昙花一现，瘙痒和阻塞性黄疸可能是呈现大动脉瘤的症状。我们建议仔细关注可操作策略的选择，受AAA的解剖学特征和一支连贯的跨学科团队的成功成果的影响。

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