Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 21 august 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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SURGICAL MANAGEMENT OF A RARE CASE OF MARFAN SYNDROME - THE RUPTURE OF AN ABDOMINAL AORTIC ANEURYSM
L. Stoica, E. Bitere, A. Ciucu, A. Dabija, D. Butcovan, * M. Grigoras
Depatment of Cardio-Vascular Surgery,
Institute of Cardiology Iasi
* Department of Radiology
University of Medicine and Pharmacy "Gr.T. Popa" Iasi
Jurnalul de chirurgie 2005; 1 (4):426-428
Full text: Format PDF (French)

Abstract:

We present a rare manifestation of the Marfan syndrome. A 33 years old woman with a 10 cm diameter juxta-renal aortic aneurysm ruptured in the retro peritoneum arrived in hemorrhagic shock. Surgery was performed in emergency by thoraco-phreno-laparatomy, the aneurysm was resected and a 20 mm Dacron tube was sutured between the origin of the renal arteries and the aortic bifurcation.

Rapid thoracic aortic cross-clamping to stop the hemorrhage and good aneurismal exposure by the division of the left renal vein was the key of this successful management. The patient recovered without any complication. Rupture of the abdominal aortic aneurysm is a life threatening complication which requires a rapid diagnosis and an emergency treatment by open surgery or by endovascular stent grafting. We present the surgical strategy in our case.

KEYWORDS: MARFAN SYNDROME, ABDOMINAL AORTIC ANEURYSM RUPTURE

Correspondence: L. Stoica MD, Depatment of Cardio-Vascular Surgery,
Institute of Cardiology Iasi, Str. Carol I, no. 50, Iasi, 700503, Romania;
e-mail:

received date: 01.09.2005
accepted date: 09.11.2005



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.