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).
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Date
2006-05
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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 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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Keywords
Abdominal aortic aneurysm, Chronic obstructive pulmonary disease, Endovascular aortic aneurysm repair, EVAR
Citation
Wongwanit Chumpol, Mutirangura Pramook, Chierakul Nitipatana, Chaiyasoot Walailak, Phongraweewan Orawan. 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). Siriraj Medical Journal, 2006 May; 58(5): 812-818.