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Case Reports
. 2021 May 20;7(4):659-664.
doi: 10.1016/j.jvscit.2021.04.016. eCollection 2021 Dec.

Giant abdominal aortic aneurysms

Joshua I Ng  1 , Tuong Nguyen  1 , Anand Tarpara  1 , Dawn Salvatore  1 , Paul DiMuzio  1 , Babak Abai  1
Affiliations
Case Reports

Giant abdominal aortic aneurysms

Joshua I Ng et al. J Vasc Surg Cases Innov Tech. .

Abstract

Giant abdominal aortic aneurysms (AAAs) are defined as AAAs >10 to 13 cm in the maximum transverse diameter. We have described a case of a patient who had presented for open repair of an 18-cm AAA and a review of reported cases of giant AAAs >10 cm in the maximum transverse diameter. Forty cases were compiled. The average maximum AAA diameter was 14.5 ± 4.1 cm. The AAA was ruptured on presentation in 12 patients (30%). Of the 40 cases, 34 (85%) were repaired with open surgery. The reported mortality was 15%. Despite the case complexity, five endovascular repairs were attempted.

Keywords: Abdominal aortic aneurysm; Endovascular repair of abdominal aortic aneurysm; Giant abdominal aortic aneurysm; Giant aneurysm; Open repair of abdominal aortic aneurysm.

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Figures

Fig 1
Fig 1
Preoperative computed tomography angiograms demonstrating an 18-cm abdominal aortic aneurysm (AAA) with severe neck angulation. A, Axial imaging study demonstrating a maximum diameter of 18 cm and large amount of intramural thrombus. B, Coronal imaging study demonstrating maximum diameter of 18 cm. C, Sagittal imaging study demonstrating aortic neck angulation. D, Coronal imaging study demonstrating aortic neck angulation. E, Anteroposterior view of preoperative computed tomography angiogram with three-dimensional reconstruction. F, Lateral view of preoperative computed tomography angiogram with three-dimensional reconstruction.
Fig 2
Fig 2
Intraoperative photographs. A, The patient was placed in the right lateral decubitus position. B, A large amount of intramural thrombus was evacuated. C, Final placement of aortic graft before closure of the aneurysmal sac around the graft.
Fig 3
Fig 3
One-month postoperative image in outpatient clinic.
See this image and copyright information in PMC

References

    1. Yoshida R.A., Yoshida W.B., Kolvenbach R., Jaldin R.G., Sobreira M.L., Hirga M. Endovascular repair of a complex giant infrarenal abdominal aortic aneurysm. Vascular. 2015;23:534–538. - PubMed
    1. Droz N.M., Miner J., Pecchioni L. An 18-cm unruptured abdominal aortic aneurysm. J Vasc Surg Cases Innov Tech. 2017;3:16–19. - PMC - PubMed
    1. Ullery B.W., Itoga N.K., Lee J.T. Giant abdominal aortic aneurysms: a case series and review of the literature. Vasc Endovascular Surg. 2015;49:242–246. - PubMed
    1. Duijzer C., Schuurs T.C., Wisselink W. Giant, 20 cm diameter, ruptured abdominal aortic aneurysm: a case report. EJVES Short Rep. 2019;42:18–20. - PMC - PubMed
    1. Lederle F.A., Johnson G.R., Wilson S.E., Chute E.P., Hye R.J., Makaroun M.S. The aneurysm detection and management study screening program: validation cohort and final results. Arch Intern Med. 2000;160:1425–1430. - PubMed

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