Siriraj Medical Journal

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https://imsear.searo.who.int/handle/123456789/136440

Editor: Ouay Ketusinh

ISSN: 2228-8082 (Print)

Frequency: Bi-monthly

Language: English

Published by Faculty of Medicine Siriraj Hospital, Mahidol University

Peer-reviewed open access journal indexed in Index Medicus

Web site: https://www.sirirajmedj.com

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Browsing Siriraj Medical Journal by Subject "Abdominal aortic aneurysm"

Now showing 1 - 3 of 3
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    Experiences with sonography of abdominal aortic aneurysm.
    (1985-06) Jitnuson, Poonsook; Keorochana, Sriprapai; Noiklang, Porntip; Prabhasawat, Krisdee
    Real time and conventional contact ultrasonic B scannings of the abdominal aorta are excellent methods to investigate patients with prominent abdominal pulsation. Echo from thrombi may frequently be identified within the aneurysm. It is particularly valuable in differentiating tortuous atherosclerotic aorta from aneurysm. The procedure is noninvasive and causes no discomfort.
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    Rapidly enlarging and asymptomatic abdominal aortic aneurysm in a male patient with chronic obstructive pulmonary disease: A case report of early experience of endovascular aortic aneurysm repair (EVAR).
    (2006-05) Wongwanit, Chumpol; Mutirangura, Pramook; Chierakul, Nitipatana; Chaiyasoot, Walailak; Phongraweewan, Orawan
    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 peri-operative 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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    Salmonellosis in a patient with abdominal aortic aneurysm.
    (1994-10) Areekul, Suvit; Viravan, Chaisin
    A 62 year-old man was admitted to the hospital with a history of fever and abdominal pain for 3 days. Four years ago, he has previously been treated for ischemic heart disease, hypertension and diabetes mellitus. CT scan of the abdomen revealed a partially thrombosed atherosclerotic aneurysm of the abdominal aorta. Hemoculture grew out Pseudomonas aeruginosa. After treatment with ciprofloxacin for 10 days, the abdominal pain and fever recurred. One week later, a blood culture grew out Salmonella group B. Ampicllin was given intravenously, however, the fever still persisted. On day 32 of admission, the patient went into shock with bleeding in the gastro-intestinal tract. The patient died on the next day despite blood transfusion. This patient represented an atheroscloerotic aneurysm of the abdominal aorta with salmonella infection and subsequent rupture.