Endovascular treatment of abdominal aortic rupture after percutaneous lithotripsy
Vinícius Adami Vayego Fornazari, Rômulo Florêncio Tristão Santos, Thiago Franchi Nunes, Ricardo Abdala da Silva Oliveira, Dênis Szejnfeld
Abstract
and blurred vision.Physical examination may show pallor, hypotension, tachycardia, and a pulsatile abdominal mass.In cases of hemodynamic instability, the patient must first be stabilized, and, when possible, should undergo computed tomography (CT) angiography of the abdomen, which is the imaging modality of choice for the diagnosis and planning of endovascular treatment.Rupture of an AAA is more likely to occur in the retroperitoneal space than in the peritoneal cavity, mortality rates being higher if it occurs in the latter (4) .When diagnosing AAA rupture by CT angiography (Figures 1 and2), clinical patient stabilization measures must be taken together and despite a rapid endovascular approach, CT angiography has greater therapeutic potential than does conventional surgery because the former