Journal of vascular surgery
-
This study sought to identify risk factors associated with an unfavorable outcome after elective abdominal aortic aneurysm (AAA) repair in patients with chronic obstructive pulmonary disease (COPD). ⋯ Fewer prescribed inhalers, lower hematocrit, renal insufficiency, and coronary artery disease are preoperative factors associated with unfavorable outcomes after open elective surgical repair of AAA in patients with COPD. Intensive management of these factors may reduce the hazards of AAA operations in these patients. COPD alone should not be considered a deterrent to the surgical treatment of AAAs.
-
Review Case Reports
Primary aortoduodenal fistula: a case report and review of the literature.
Abdominal aortic aneurysms (AAAs) can cause aortoenteric fistulae (AEF). AEF can either be primary, arising from the aneurysm or other diseases, causing the aorta to erode into the bowel, or secondary, from previous aortic grafting. Primary aortoduodenal fistula (ADF) is a rare clinical entity that usually presents with gastrointestinal bleeding that can be occult, intermittent, or massive. ⋯ The ADF and AAA were surgically repaired, and the patient recovered without complications. This case represents an example of a rare complication of AAA with the unusual presentation of multiple aortic aneurysms. We will address the pathophysiology, diagnostic evaluation, and management of AEF.
-
With the easier and earlier recognition of complex regional pain syndrome (CRPS), a reappraisal of its therapy, particularly the role and timing of sympathectomy, is warranted. ⋯ Early recognition of CRPS and prompt recourse to surgical sympathectomy is a useful option in the management of CRPS.