Key result
A giant abdominal aortic aneurysm measuring 11 cm × 12 cm was successfully treated with a bifurcated stent prosthesis, and the patient was discharged on postoperative day 2.
Case Report (n=1)
No
Demonstrates the utility of MDCT with 3D reconstruction in visualizing and planning treatment for a rare giant abdominal aortic aneurysm.
Endovascular repair may be feasible for giant AAAs with rapid discharge; leaves open questions on durability and generalizability.
A 76-year-old male patient was admitted to our emergency department with abdominal pain that became more intense in the last two days. His medical history was no table for hypertension, severe chronic obstructive pulmonary disease, and abdominal aortic aneurysm. Multidetector computed tomographic angiography (MDCT) showed a giant aortic aneurysm with a diameter of 11 cm 12 cm, initiating from 2 cm below the right renal artery orifice (Figure Bifurcated stent prosthesis (Bolton Medical, Treovance) was implanted in the usual manner (Figure The patient was discharged on postoperative day 2. Ruptured abdominal aortic aneurysms cause 12.000 deaths per year, of which 8.000 are infrarenal (1) . Aneurysm size is the most important factor related to likelihood of rupture, and the risk substantially increases in large aneurysms. A few cases with maximum diameter > 10 cm have been reported in the literature (2) . Furthermore, our MDCT scan view with a threedimensional reconstruction is wondrous (Figure
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Göncü et al. (2017) conducted a case report in Giant abdominal aortic aneurysm (n=1). Bifurcated stent prosthesis implantation was evaluated on Successful implantation and discharge. A giant abdominal aortic aneurysm measuring 11 cm × 12 cm was successfully treated with a bifurcated stent prosthesis, and the patient was discharged on postoperative day 2.
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