Two-stage surgery to repair a dissecting abdominal aortic aneurysm in a severely obese patient: Open bifurcated graft replacement after laparoscopic sleeve gastrectomy.
With the increasing prevalence of severe obesity worldwide, surgical treatment for severely obese patients is becoming more popular. Bariatric surgery has occasionally been performed as a precursor to major operations for serious diseases to make these difficult surgeries safer for severely obese patients. We present the case of a severely obese patient with a dissected abdominal aortic aneurysm and left iliac artery aneurysm. Initially, we performed bariatric surgery on this patient to reduce perioperative risk and then subsequently performed bifurcated graft replacement. A 54-year-old man presented at our hospital for bariatric surgery before open abdominal aortic aneurysm repair. Laparoscopic sleeve gastrectomy was performed; 15 months later, the patient's weight and BMI had decreased from 139.0 kg to 97.6 kg and from 48.7 kg/m(2) to 34.2 kg/m(2) , respectively. Bifurcated graft replacement was performed safely without postoperative complications. Bariatric surgery was also effective in controlling the patient's blood pressure during the interval between surgeries.
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Yoshihiro
Y
Shioi
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Akira
A
Sasaki
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Hiroyuki
H
Nitta
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Akira
A
Umemura
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Shigeaki
S
Baba
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Takeshi
T
Iwaya
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Yusuke
Y
Kimura
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Koki
K
Otsuka
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Keisuke
K
Koeda
Department of Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Masaru
M
Mizuno
Department of Cardiovascular Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Kazuya
K
Kumagai
Department of Cardiovascular Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Takeshi
T
Kamada
Department of Cardiovascular Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Masayuki
M
Mukaida
Department of Cardiovascular Surgery, Iwate Medical University School of Medicine, Morioka, Japan.
Hitoshi
H
Okabayashi
D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*
Abdominal aortic aneurysm; aortic dissection; bariatric surgery