Patient with a ruptured aneurysm successfully underwent prosthesis of abdominal aortic and iliac arteries

In the news, you will be informed about the following:

• Clinical case;
• Aneurysm.

Upon admission to the Department of Emergency patient already had a severe general condition, shock, acute respiratory failure. The patient had to be switched to assisted ventilation.

For hemodynamic stabilization, a team of reanimatologists started inotropic support (maintaining blood pressure with particular medications).

What should you know about the clinical case?

Ultrasound imaging of the abdominal and pleural cavity was conducted, based on which abdominal effusion was identified.

As reanimatologist of National Center of Surgery Manuela Pipia stated in an interview with us, studies diagnosed rupture of abdominal aortic aneurysm.

 "Due to the severe health condition upon admission to the clinic, the patient couldn't indicate symptoms or complaints. The patient suffered from severe abdominal pain before hospitalization. Pain caused a decrease in blood pressure and profuse sweating. Family members called an emergency" – Stated Ms. Manuela

A patient with a diagnosis of a ruptured abdominal aortic aneurysm was moved to a hybrid operating room 21 minutes after admission to the clinic, where prosthesis of abdominal aortic and iliac arteries was conducted. 

We asked Angiosurgeon of Endovascular Department Giorgi Kenchadze to comment on the operation and patient’s health condition.

 "Patient's abdominal aortic aneurysm was ruptured, the patient also had thoracic and iliac arterial aneurysm, albeit the later (thoracic and iliac) weren't ruptured. The prosthesis of abdominal aortic and iliac arteries was conducted. When we deal with a ruptured aneurysm, every second counts and that's why we moved the patient to the operating block and provided respective care without wasting time” – stated Mr. Giorgi

The operation proceeded without any complications, currently patient continues the treatment in the Department of Critical Medicine.

What should you know about aneurysm?

An aneurysm is one of the dangerous pathologies and medics call this disease a slowly-detonating mine.

It presents local or distant-spreading aortic enlargement that most commonly develops in the chest and abdominal area.

Congenital, as well as acquired diseases, contribute to the development of pathology, unhealthy lifestyle plays a certain role in it.

There are true and false aneurysms; commonly false aneurysm develops as a result of the trauma.

In National Center of Surgery, accurate diagnosis is reached and respective proper treatment is planned quickly and effectively in one space, based on medical history, symptoms, and instrumental studies.

When dealing with a ruptured aneurysm, prompt care and professionalism and experience of the angiosurgeon are vital.

Prompt and effective management of the urgent clinical case presented in the article is one of the examples of how important is the multi-field approach, prompt involvements of doctors of various fields, and department equipped with all necessary medical equipment to treat this pathology. 

Wish you health!