Lethal complications associated with nonrestrictive treatment of abdominal aortic aneurysms

Five high-risk patients received nonresective treatment of abdominal aortic aneurysms (AAAs). This treatment included ligation of the iliac arteries to induce acute thrombosis of AAA and a simultaneous axillobifemoral bypass for restoration of arterial flow to the lower extremities. Of these five pa...

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Bibliographic Details
Published inArchives of surgery (Chicago. 1960) Vol. 117; no. 9; p. 1214
Main Authors Cho, S I, Johnson, W C, Bush, Jr, H L, Widrich, W C, Huse, J B, Nabseth, D C
Format Journal Article
LanguageEnglish
Published United States 01.09.1982
Subjects
Aged
Aorta, Abdominal
Aortic Aneurysm - surgery
Femoral Artery - surgery
Humans
Iliac Artery
Ligation
Male
Methods
Postoperative Complications
Risk
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Summary:Five high-risk patients received nonresective treatment of abdominal aortic aneurysms (AAAs). This treatment included ligation of the iliac arteries to induce acute thrombosis of AAA and a simultaneous axillobifemoral bypass for restoration of arterial flow to the lower extremities. Of these five patients, lethal complications associated with this procedure developed in four. The complications included rupture, infection of the thrombotic aortic aneurysm, visceral ischemia, and consumptive coagulopathy. This high incidence of lethal complications and the unacceptably high patient mortality in these five patients indicates extreme precaution in the application of nonresective treatment for AAA.
ISSN:0004-0010
DOI:10.1001/archsurg.1982.01380330072018