Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity

Although abdominal aortic aneurysm (AAA) is common in the atherosclerotic aorta in the elderly, isolated AAA (IAAA) is a rare entity. Only few case reports of IAAA associated with concomitant dissection are reported in the literature. Here, we present a case of a middle-aged male who presented with...

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Main Authors: Divij Jayant, Arunanshu Behera, Cherring Tandup, Satish Subbiah Nagaraj, Saroj Yadav
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Vascular and Endovascular Surgery
Subjects:
Online Access:http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2022;volume=9;issue=5;spage=397;epage=400;aulast=
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author Divij Jayant
Arunanshu Behera
Cherring Tandup
Satish Subbiah Nagaraj
Saroj Yadav
author_facet Divij Jayant
Arunanshu Behera
Cherring Tandup
Satish Subbiah Nagaraj
Saroj Yadav
author_sort Divij Jayant
collection DOAJ
description Although abdominal aortic aneurysm (AAA) is common in the atherosclerotic aorta in the elderly, isolated AAA (IAAA) is a rare entity. Only few case reports of IAAA associated with concomitant dissection are reported in the literature. Here, we present a case of a middle-aged male who presented with abdominal pain with stable hemodynamics. Abdominal examination revealed a pulsatile mass in the left paraumbilical region. CT angiography of the abdomen revealed an isolated infrarenal AAA with dissection extending into the bilateral common iliac arteries and an eccentric partial thrombosis of the false lumen. The patient underwent successful open aneurysmorrhaphy with PTFE graft. Postoperative course was uneventful, and the patient was discharged to follow up in clinics.
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spelling doaj.art-c7fcc9ecec834070a6f01606323441e02023-02-16T12:22:46ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992022-01-019539740010.4103/ijves.ijves_54_22Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entityDivij JayantArunanshu BeheraCherring TandupSatish Subbiah NagarajSaroj YadavAlthough abdominal aortic aneurysm (AAA) is common in the atherosclerotic aorta in the elderly, isolated AAA (IAAA) is a rare entity. Only few case reports of IAAA associated with concomitant dissection are reported in the literature. Here, we present a case of a middle-aged male who presented with abdominal pain with stable hemodynamics. Abdominal examination revealed a pulsatile mass in the left paraumbilical region. CT angiography of the abdomen revealed an isolated infrarenal AAA with dissection extending into the bilateral common iliac arteries and an eccentric partial thrombosis of the false lumen. The patient underwent successful open aneurysmorrhaphy with PTFE graft. Postoperative course was uneventful, and the patient was discharged to follow up in clinics.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2022;volume=9;issue=5;spage=397;epage=400;aulast=aneurysmorrhaphycontained ruptureinfrarenal aortic aneurysmisolated infrarenal aortic dissection
spellingShingle Divij Jayant
Arunanshu Behera
Cherring Tandup
Satish Subbiah Nagaraj
Saroj Yadav
Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity
Indian Journal of Vascular and Endovascular Surgery
aneurysmorrhaphy
contained rupture
infrarenal aortic aneurysm
isolated infrarenal aortic dissection
title Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity
title_full Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity
title_fullStr Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity
title_full_unstemmed Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity
title_short Isolated giant infrarenal abdominal aortic aneurysm with dissection: Case report of an extremely rare entity
title_sort isolated giant infrarenal abdominal aortic aneurysm with dissection case report of an extremely rare entity
topic aneurysmorrhaphy
contained rupture
infrarenal aortic aneurysm
isolated infrarenal aortic dissection
url http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2022;volume=9;issue=5;spage=397;epage=400;aulast=
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AT cherringtandup isolatedgiantinfrarenalabdominalaorticaneurysmwithdissectioncasereportofanextremelyrareentity
AT satishsubbiahnagaraj isolatedgiantinfrarenalabdominalaorticaneurysmwithdissectioncasereportofanextremelyrareentity
AT sarojyadav isolatedgiantinfrarenalabdominalaorticaneurysmwithdissectioncasereportofanextremelyrareentity