Three years ago, Mr. Nguyen Dinh Tung (68), of Hai Ba Trung district, Hanoi, found an aortic aneurysm, and he intends to have a stent graft implanted at a different hospital. However, he abruptly had acute abdominal pain, perspiration, and a dip in blood pressure on Saturday morning (January 23). He was brought to Vinmec International General Hospital's emergency room.
A 6 cm aortic bulge had partially ruptured, leaking into the retroperitoneum, according to emergency CT scan findings. Due to the urgency of the circumstances, the patient was both operated on and resuscitated at night. "This is a challenging procedure due to the rupture of the bulge on the background of an inflamed aorta, therefore surgical analysis is necessary," said Doctor Nguyen Hoang Ha, Head of the Cardiovascular Surgery Department at Vinmec International General Hospital, who directly carried out the surgery. and managing the aorta is exceedingly challenging. It took 5 hours to complete the operation. The abdominal aorta was substituted with an artificial vessel after the surgeons were able to control the patient's bulge. The patient can now walk lightly three days after surgery, and eating and drinking have normalized. The patient is anticipated to be released from the hospital on February 3rd.
The majority of the patient's approximately 1 liter of blood lost during the procedure was transfused using a reverse blood transfusion technique based on the Cell saver device.
Added by Dr. Hoang Ha: One of the most common vascular illnesses that lead to death is abdominal aortic aneurysm. The condition typically affects people who are older (over 60), with more men than women (5/1). High blood pressure, having atherosclerotic disease elsewhere, smoking, and a family history of aneurysms are risk factors for the condition. The condition is typically found through routine screening using ultrasonography and clinical indicators. The patient has an extremely high death rate if the bulge ruptures. The patient was extremely lucky that the bulge broke in an extraperitoneal position, which limited the amount of blood loss and allowed for timely surgery before the bulge totally ruptured. If it is totally damaged, it has a slim chance of surviving.
Additionally, Dr. Ha advises early aorta replacement surgery for patients with abdominal aortic aneurysms, particularly those that are larger than 5 cm in size and are at danger of rupture. A portion of the scaffold is placed using abdominal or percutaneous procedures and is coated in artificial blood vessels (stengraft).
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