검색
검색 팝업 닫기

Advanced search

Article

Split Viewer

Online first

J Chest Surg

Published online February 15, 2021

Copyright © Journal of Chest Surgery.

Resuscitative Endovascular Balloon Occlusion of the Aorta for an Iliac Artery Aneurysm

Sung Wook Chang, M.D.1,2 , Sangwook Chun, M.D.2 , Gyeongho Lee, M.D.2 , Pil Won Seo, M.D., Ph.D.2

1Trauma Center and 2Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Korea

Correspondence to:Pil Won Seo
Tel 82-41-550-6195
Fax 82-41-550-0039
E-mail pwseo@dankook.ac.kr
ORCID
https://orcid.org/0000-0003-0084-1814

Received: September 25, 2020; Accepted: October 22, 2020

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated iliac artery aneurysm (IAA) is rare, but can be fatal. Emergency surgery is performed in cases of hemorrhagic shock due to a suddenly ruptured IAA, which may have a high mortality rate because of massive non-compressible torso hemorrhage (NCTH). Recently, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as an alternative to aortic cross-clamping via open thoracotomy to achieve hemostasis in trauma patients with profound shock due to NCTH and is considered an emerging bridging therapy for damage control. However, there is limited information on the use of REBOA in non-trauma patients with shock. Herein, we describe a patient with impending cardiac arrest due to isolated ruptured IAA, in whom perioperative bleeding was successfully controlled by REBOA.

Keywords: Iliac artery, Aneurysm, Rupture, Aorta, Balloon occlusion

Article

ahead

J Chest Surg

Published online February 15, 2021

Copyright © Journal of Chest Surgery.

Resuscitative Endovascular Balloon Occlusion of the Aorta for an Iliac Artery Aneurysm

Sung Wook Chang, M.D.1,2 , Sangwook Chun, M.D.2 , Gyeongho Lee, M.D.2 , Pil Won Seo, M.D., Ph.D.2

1Trauma Center and 2Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital, Cheonan, Korea

Correspondence to:Pil Won Seo
Tel 82-41-550-6195
Fax 82-41-550-0039
E-mail pwseo@dankook.ac.kr
ORCID
https://orcid.org/0000-0003-0084-1814

Received: September 25, 2020; Accepted: October 22, 2020

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated iliac artery aneurysm (IAA) is rare, but can be fatal. Emergency surgery is performed in cases of hemorrhagic shock due to a suddenly ruptured IAA, which may have a high mortality rate because of massive non-compressible torso hemorrhage (NCTH). Recently, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as an alternative to aortic cross-clamping via open thoracotomy to achieve hemostasis in trauma patients with profound shock due to NCTH and is considered an emerging bridging therapy for damage control. However, there is limited information on the use of REBOA in non-trauma patients with shock. Herein, we describe a patient with impending cardiac arrest due to isolated ruptured IAA, in whom perioperative bleeding was successfully controlled by REBOA.

Keywords: Iliac artery, Aneurysm, Rupture, Aorta, Balloon occlusion

There is no Figure.

There is no Table.

There is no Reference.

Stats or Metrics

Share this article on :

  • line