Delayed abdominal aortic aneurysm sac rupture after open repair
Delayed abdominal aortic aneurysm sac rupture after open repair
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Open surgical repair of abdominal aortic aneurysm ultrastar dc hc550 (AAA) is often regarded as a near-permanent operation with little long-term complications.Reported herein is a case of delayed rupture of an enlarging AAA sac after open repair requiring re-exploration in a patient presenting charcotabs with flank pain and ipsilateral hydronephrosis.The natural history of a large, excluded aneurysm sac after open AAA repair, hypothesized etiology for this rare occurrence, and proposed diagnostic and therapeutic algorithm are described.
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