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. 2020 May 11;S0890-5096(20)30371-X.
doi: 10.1016/j.avsg.2020.05.001. Online ahead of print.

Ruptured Abdominal Aortic Aneurysm Treated With Endovascular Repair in a Patient With Active COVID-19 Infection During the Pandemic

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Free PMC article

Ruptured Abdominal Aortic Aneurysm Treated With Endovascular Repair in a Patient With Active COVID-19 Infection During the Pandemic

Michael Shih et al. Ann Vasc Surg. .
Free PMC article

Abstract

We report a patient who presented with acute abdominal pain during the COVID-19 pandemic. His work-up revealed rupture of a 5.8 cm abdominal aortic aneurysm. He also had fever, cough, and shortness of breath and radiologic evidence of COVID-19 infection. After careful consideration, he underwent successful endovascular repair under local anesthesia with good short-term results.

Figures

Fig. 1
Fig. 1
Preoperative CT. (A), Bilateral ground glass opacities in the lung periphery. (B), Ruptured abdominal aortic aneurysm with adjacent hematoma.
Fig. 2
Fig. 2
3-D reconstruction of completed endovascular repair.
Fig. 3
Fig. 3
Follow-up CT. (A), Resolving ground glass opacities. (B), Patent endograft with resolving hematoma.

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References

    1. Klok F.A., Kruip M.J.H.A., Van der Meer N.J.M. Incidence of thrombotic complications in critically ill ICU patients with COVID-19. Thromb Res. 2020 doi: 10.1016/j.thromres.2020.04.013. (in press) - DOI
    1. Tan G.W.L., Chandrasekar S., Lo Z.J. Early experience in the COVID-19 pandemic from a vascular surgery unit in a Singapore tertiary hospital. J Vasc Surg. 2020 doi: 10.1016/j.jvs.2020.04.014. (in press) - DOI
    1. Bikdeli B., Madhavan M.V., Jimenez D. COVID-19 and thrombotic or thromboembolic disease: implications for prevention, antithrombotic therapy, and follow-up. J Am Coll Cardiol. 2020 doi: 10.1016/j.jacc.2020.04.031. (in press) - DOI
    1. Verikokos C., Lazaris A.M., Geroulakos G. Doing the right thing for the right reason when treating ruptured abdominal aortic aneurysms in the COVID-19 era. J Vasc Surg. 2020 doi: 10.1016/j.jvs.2020.04.009. (in press) - DOI
    1. Chaikof E.L., Dalman R.L., Eskandari M.K. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. J Vasc Surg. 2018;67:2–77. - PubMed
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