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Case Reports
. 2014 Aug;44(8):1548-51.
doi: 10.1007/s00595-013-0519-3. Epub 2013 Feb 21.

Endovascular aneurysm repair for an abdominal aortic aneurysm and a left ruptured common iliac artery aneurysm in a patient with hepatocellular carcinoma: report of a case

Ryoichi Kyuragi  1 , Takuya Matsumoto, Jun Okadome, Eisuke Kawakubo, Kenichi Homma, Kazuomi Iwasa, Atsushi Guntani, Jin Okazaki, Yoshihiko Maehara
Affiliations
Case Reports

Endovascular aneurysm repair for an abdominal aortic aneurysm and a left ruptured common iliac artery aneurysm in a patient with hepatocellular carcinoma: report of a case

Ryoichi Kyuragi et al. Surg Today. 2014 Aug.

Abstract

We performed an endovascular aneurysm repair (EVAR) for an abdominal aortic aneurysm (AAA) and a ruptured common iliac artery aneurysm (rCIAA) in a patient complicated by severe liver dysfunction due to obstructive jaundice resulting from hepatocellular carcinoma (HCC). A 68-year-old male presented with acute lower abdominal pain. Abdominal computed tomography (CT) showed a 4.5-cm infrarenal AAA, a 6.0-cm left rCIAA with retroperitoneal hematoma and a 13-cm mass in the liver, which was suspected to be HCC. His laboratory data showed severe liver dysfunction. An emergency EVAR was done under local anesthesia because of his liver dysfunction. He was transferred to another hospital without any complications.

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