[Compartmental syndrome complicating endovascular treatment of ruptured abdominal aortic aneurysm].

Q3 Medicine Revue medicale de Liege Pub Date : 2023-01-01
L Levavasseur, F Salomez, A Paulmier, C Mettlen, P Kapinga, C Vazquez
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引用次数: 0

Abstract

The Guide Line of the Society for Vascular Surgery now recommends endovascular repair (rEVAR) for ruptured abdominal aortic aneurysms (RAAA) when anatomical conditions are present. Abdominal compartment syndrome (ACS) can be one of the serious postoperative complications of rEVAR. ACS is usually associated with progressive development of organ dysfunctions and poor outcomes. We describe an ACS following a RAAA with hemorrhagic shock treated conservatively with a rEVAR.Decompression laparotomy were not performed because spontaneous improvement with conservative ICU treatment was effective.

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[室室综合征并发腹主动脉瘤破裂的血管内治疗]。
血管外科学会指南现在推荐在解剖条件存在的情况下对破裂的腹主动脉瘤(RAAA)进行血管内修复(rEVAR)。腹腔隔室综合征(ACS)可能是rEVAR术后严重的并发症之一。ACS通常与器官功能障碍的进行性发展和不良预后相关。我们描述一个ACS继RAAA和失血性休克保守治疗rEVAR。由于在ICU保守治疗下自发性改善是有效的,因此没有进行减压开腹手术。
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Revue medicale de Liege
Revue medicale de Liege Medicine-Medicine (all)
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期刊介绍: The Medical Review of Liege is a tool for continuous medical training being addressed to students, general practitioners, and specialists
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