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

장성욱, Chun Sang-Wook, 이경호, 서필원,
소속 상세정보
장성욱 ( Chang Sung-Wook ) - Dankook University Hospital Department of Thoracic and Cardiovascular Surgery
 ( Chun Sang-Wook ) - Dankook University Hospital Department of Thoracic and Cardiovascular Surgery
이경호 ( Lee Gyeong-Ho ) - Dankook University Hospital Department of Thoracic and Cardiovascular Surgery
서필원 ( Seo Pil-Won ) - Dankook University Hospital Department of Thoracic and Cardiovascular Surgery

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.

키워드

Iliac artery; Aneurysm; Rupture; Aorta; Balloon occlusion; Case report

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