title: Endovascular aneurysm repair for an abdominal aortic aneurysm and a left ruptured common iliac artery aneurysm in a patient with hepatocellular carcinoma: report of a case.
abstract: We performed an endovascular aneurysm repair (EVAR) for an abdominal aortic aneurysm (AAA) and a ruptured common iliac artery aneurysm (rCIAA) in a patient complicated by severe liver dysfunction due to obstructive jaundice resulting from hepatocellular carcinoma (HCC). A 68-year-old male presented with acute lower abdominal pain. Abdominal computed tomography (CT) showed a 4.5-cm infrarenal AAA, a 6.0-cm left rCIAA with retroperitoneal hematoma and a 13-cm mass in the liver, which was suspected to be HCC. His laboratory data showed severe liver dysfunction. An emergency EVAR was done under local anesthesia because of his liver dysfunction. He was transferred to another hospital without any complications.
authors: Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashiku, Fukuoka, 812-8582, Japan, kyuragi@surg2.med.kyushu-u.ac.jp.
authors: Ryoichi
authors: R
authors: Kyuragi
authors: Takuya
authors: T
authors: Matsumoto
authors: Jun
authors: J
authors: Okadome
authors: Eisuke
authors: E
authors: Kawakubo
authors: Kenichi
authors: K
authors: Homma
authors: Kazuomi
authors: K
authors: Iwasa
authors: Atsushi
authors: A
authors: Guntani
authors: Jin
authors: J
authors: Okazaki
authors: Yoshihiko
authors: Y
authors: Maehara
mesh_terms: D000368:Aged; D000772:Anesthesia, Local; D017542:Aneurysm, Ruptured / Q000209:etiology* / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology* / Q000601:surgery*; D006528:Carcinoma, Hepatocellular / Q000150:complications*; D004630:Emergencies; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D017543:Iliac Aneurysm / Q000209:etiology* / Q000601:surgery*; D041781:Jaundice, Obstructive / Q000209:etiology; D008107:Liver Diseases / Q000209:etiology; D008113:Liver Neoplasms / Q000150:complications*; D008297:Male; D012720:Severity of Illness Index; D016896:Treatment Outcome