Giant Abdominal Aortic Aneurysm

Mumoli, Nicola; Invernizzi, C; Luschi, Riccardo; Carmignani, Giovanni; Camaiti, Alberto; Bocci, Lorenzo; Milianelli, Simona; Occhipinti, Gianluigi; Chiavistelli, Patrizio; Orlandi, Fabrizio; Niccoli, Giampaolo

doi:10.1161/circulationaha.110.946442

Cited by 8 publications

(5 citation statements)

References 2 publications

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“…Tight blood pressure control was very pertinent in this particular case. At 15.4 cm we believe the AAA cited here is one of the largest to date ( 2 - 4 ).…”

mentioning

confidence: 67%

A Successful Repair of a Giant Abdominal Aortic Aneurism

2016

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“…Tight blood pressure control was very pertinent in this particular case. At 15.4 cm we believe the AAA cited here is one of the largest to date ( 2 - 4 ).…”

mentioning

confidence: 67%

A Successful Repair of a Giant Abdominal Aortic Aneurism

2016

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“…Giant AAA is challenging to manage either open or endovascular surgery as there is shortening of proximal infrarenal aortic neck, significantly angulated neck, displacement of adjacent organs/spine which on most occasions become adherent, increasing the chances of rupture or fistula formation. 74 With the advancements of stents management by EVAR are increasingly becoming popular, however, it still has to be selectively chosen due to the anatomical challenges in the neck of giant AAA, suitable iliac anatomy, and availability of graft in emergencies. Hence EVAR approach is mostly advocated in hostile abdomen, horse-shoe kidney, patients with a stoma, or if there is concern of ongoing infection.…”

Section: Discussionmentioning

confidence: 99%

A systematic review and case presentation: Giant abdominal aortic aneurysm

et al. 2023

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Objective An abdominal aortic aneurysm is considered giant when its transverse diameter is greater than 10–13 cm in diameter. A giant abdominal aortic aneurysm is rare but with a significant risk of rupture if it is not diagnosed or left untreated. Method The authors have performed a systematic review of the evidence that has looked into the clinical presentations, and management methods employed and have presented a 14 cm giant abdominal aortic aneurysm patient. Results The systematic review has been based on level-IV evidence due to the rarity of the condition. The final analysis included 61 relevant reported cases. The mean age was 72.4 years, the male to female ratio was 52: 8, and the average size of a giant abdominal aortic aneurysm was 14.7 cm. These were mostly infra renal (72.58%). Rupture of these aneurysms was found in 23 (37.1%) patients, and was treated by laparotomy in 51 (82.25%) cases. There were 11 (17.74%) mortalities. Conclusion The size of an abdominal aortic aneurysm is known to be the biggest factor in the rupture of an aneurysm. The reason abdominal aortic aneurysms can reach such size without rupturing is unclear but needs further exploring. Early diagnosis with effective screening programmes is essential to diagnose in a timely manner to avoid life-threatening consequences.

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“…Aneurysmal dilatation and excessive tortuosity of the iliac arteries are commonly found as well. Given these factors, an endovascular approach is usually not feasible, necessitating open surgical repair [ 1 ]. However an endovascular approach may become feasible in these cases in the future due to improving endovascular technology and skills.…”

Section: Discussionmentioning

confidence: 99%

“…As an abdominal aortic aneurysm (AAA) expands, increasing in diameter, the risk of rupture escalates. Reports of giant AAAs, with diameters exceeding 11 cm, seldom appear in the medical literature [ 1 ]. An aneurysm of this magnitude complicates open or endovascular surgery considerably by shortening the proximal infrarenal aortic neck and by displacing abdominal organs.…”

Section: Introductionmentioning

confidence: 99%

“…An aneurysm of this magnitude complicates open or endovascular surgery considerably by shortening the proximal infrarenal aortic neck and by displacing abdominal organs. Adjacent viscera may be adherent peripherally, with fistula formation [ 1 ]. As rupture in a giant AAA makes the mesentery mo re elongated and deformed, its blood flow may be compromised and the risk of mesenteric ischemia such as colon ischemia may increase.…”

Section: Introductionmentioning

confidence: 99%

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Open Repair of Ruptured Huge Aorto-Iliac Aneurysm: Warning of Colon Ischemia

Cho

Jung

Kim

et al. 2014

VSI

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A giant abdominal aortic aneurysm (AAA) renders surgical treatment much more difficult by deforming the proximal infrarenal aortic neck (shortened length and disturbed angulation), by altering the iliac arteries (marked tortuosity and aneurysmal dilatation), and by displacing abdominal organs. Because the retroperitoneal rupture of giant AAA makes the mesentery more elongated and deformed, compromising its blood flow and thus increasing the risk of mesenteric ischemia such as colon ischemia. We describe here the surgical repair of a large infrarenal AAA with a ruptured huge left common iliac artery aneurysm of 13.5 cm in diameter, accompanied by colostomy due to colon ischemia which occurred during the operation. We discuss the pathophysiology and preventive strategy of colon ischemia during ruptured giant AAA repair.

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Giant Abdominal Aortic Aneurysm

Cited by 8 publications

References 2 publications

A Successful Repair of a Giant Abdominal Aortic Aneurism

A Successful Repair of a Giant Abdominal Aortic Aneurism

A systematic review and case presentation: Giant abdominal aortic aneurysm

Open Repair of Ruptured Huge Aorto-Iliac Aneurysm: Warning of Colon Ischemia

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