title: Successful hybrid treatment for a ruptured thoracoabdominal aortic aneurysm in a patient with systemic lupus erythematosus.
abstract: A 49-year-old woman with a 27-year history of systemic lupus erythematosus (SLE) was admitted to our hospital with sudden-onset severe back pain. An emergency multidetector computed tomography (MDCT) revealed a ruptured thoracoabdominal aortic aneurysm (TAAA) 80 mm in diameter. Considering her condition and comorbidities, we performed an emergency hybrid treatment: visceral reconstruction followed by endoluminal aneurysm exclusion. She recovered uneventfully, except for the need for temporary hemodialysis. TAAA complicated with SLE is extremely rare. To our knowledge, this is the first successful report in the English literature of a ruptured TAAA in a patient with SLE who underwent hybrid treatment.
authors.affiliation: Department of Cardiovascular Surgery, Yao Tokushukai General Hospital, Yao, Osaka, Japan.
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Akagi
authors.forename: Shoji
authors.initials: S
authors.lastname: Sakaguchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Irie
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Nakao
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Nishimine
authors.forename: Kei
authors.initials: K
authors.lastname: Sakai
keywords: SLE; hybrid treatment; ruptured TAAA