Key result
Intra-aortic balloon occlusion followed by open repair and open abdomen management facilitates ruptured AAA survival.
Case Report (n=1)
No
Open abdomen management combined with intra-aortic balloon occlusion is a viable strategy for stabilizing and saving patients with ruptured abdominal aortic aneurysms requiring inter-hospital transfer, despite risks of prolonged ischemic complications.
A 74-year old man, presented with dyspnea following acute abdominal pain, was admitted to an initial hospital. The plain computed tomography （ CT ） scan revealed a ruptured abdominal aortic aneurysm （ AAA ) . Emergency insertion of intra-aortic balloon occlusion （ IABO ） catheter was carried out due to his unstable hemodynamic condition. The patient was transferred to our hospital after surgical consultation. Open surgical repair was carried out, and massive retroperitoneal hematoma and excessive bowel edema made it difficult to close the abdomen primarily. Delayed closure following Open Abdomen Management （ OAM ） was effective. Jpn. J. Cardiovasc. Surg. 49 : 228 - 232 （ 2020 ）
No takes yet. Share an insight, caveat, or question.
Shibukawa et al. (2020) conducted a case report in Ruptured abdominal aortic aneurysm (AAA) (n=1). Intra-aortic balloon occlusion (IABO) catheter, open surgical repair, and Open Abdomen Management (OAM) was evaluated on Patient survival and successful abdominal closure. Intra-aortic balloon occlusion followed by open surgical repair and delayed closure using open abdomen management successfully facilitated survival in a patient with a ruptured abdominal aortic aneurysm.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: