Pulmonary Embolism due to Inferior Vena Cava Compression by a Retroperitoneal Hematoma after Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm

We report a case of a patient with a residual hematoma compressing the inferior vena cava after endovascular aneurysm repair (EVAR), which led to a pulmonary embolism (PE). A 65-year-old man underwent emergent EVAR for a ruptured aortic aneurysm in the right retroperitoneal region. He developed sudd...

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Bibliographic Details
Published inCase reports in vascular medicine Vol. 2017; no. 2017; pp. 1 - 3
Main Authors Akiba, Tadashi, Fukushima, Soichiro, Momokawa, Yasutake, Toya, Naoki, Shukuzawa, Kota, Ohki, Takao
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2017
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Abdominal aneurysm
Case Report
Hematoma
Pulmonary embolism
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Summary:We report a case of a patient with a residual hematoma compressing the inferior vena cava after endovascular aneurysm repair (EVAR), which led to a pulmonary embolism (PE). A 65-year-old man underwent emergent EVAR for a ruptured aortic aneurysm in the right retroperitoneal region. He developed sudden chest pain at midnight of the fifth day after EVAR, and computed tomography demonstrated a massive PE. He subsequently went into cardiopulmonary arrest. This case suggested that abdominal complications due to a residual hematoma, including deep vein thrombosis and PE, should be considered in addition to compartment syndrome.
Bibliography:Academic Editor: Muzaffer Sindel
ISSN:2090-6986
2090-6994
DOI:10.1155/2017/8172549