Successful surgical reconstruction of a giant ruptured abdominal aortic aneurysm. A case report
https://doi.org/10.15829/1728-8800-2026-4474
EDN: PPANNA
Abstract
In the era of national screening programs and the widespread availability of vascular ultrasound and multislice computed tomography, a giant abdominal aortic aneurysm with a diameter greater than 10 cm is a rare clinical finding. Delayed surgical treatment of a giant abdominal aneurysm leads to its rupture, with a mortality rate of <90%. Furthermore, performing both open and endovascular reconstructions presents a complex technical challenge for the treatment of this patient population. This article presents a case of successful aneurysmectomy in a patient with a giant ruptured juxtarenal abdominal aortic aneurysm. This case is considered unique due to the rarity of this pathology and the successful surgical outcome. This case highlights the importance of timely diagnosis, surgical intervention, and a multidisciplinary approach to achieving a favorable outcome in patients with a ruptured giant abdominal aortic aneurysm.
About the Authors
F. M. Tursunova
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Rechkunovckaya str., 15, Novosibirsk, 630055
O. S. Osipova
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Rechkunovckaya str., 15, Novosibirsk, 630055
A. A. Gostev
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Rechkunovckaya str., 15, Novosibirsk, 630055
P. V. Ignatenko
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Rechkunovckaya str., 15, Novosibirsk, 630055
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- This article presents a rare case of successful surgical reconstruction of a giant ruptured abdominal aortic aneurysm, characterized by a high mortality risk and technical complexity of the procedure.
- The technical complexity of the surgical intervention in this case was due to the juxtarenal extension of a giant abdominal aortic aneurysm, the absence of a posterior wall of the aneurysm, and lumbar vertebral body destruction as a result of prolonged compression.
- A favorable outcome in the surgical treatment of ruptured abdominal aortic aneurysms depends on the timely provision of care by a highly qualified multidisciplinary team of specialists, as well as modern equipment in the operating room and intensive care unit.
Review
For citations:
Tursunova F.M., Osipova O.S., Gostev A.A., Ignatenko P.V. Successful surgical reconstruction of a giant ruptured abdominal aortic aneurysm. A case report. Cardiovascular Therapy and Prevention. 2026;25(2):4474. (In Russ.) https://doi.org/10.15829/1728-8800-2026-4474. EDN: PPANNA
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