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Giant Ruptured Abdominal Aortic Aneurysm Surgery m in Octogenarian Patient: Is it Always EVAR Possible?-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Keywords Keywords: Abdominal aortic aneurysm; Octagenarian; Surgery; EVAR Case Study 80-year-old female patient with 12cm infra-renal abdominal aortic aneurysm ( Figure 1 & 2 ) complicated with lumbar pain and anemia was admitted (Hb: 7.7mg/dl). In addition, there was kidney function deterioration (creatinine: 1.51mg/dl) due to compression of the left ureter and pyelo-calyx dilatation ( Figure 3 ). The patient had a history of significant bilateral carotid disease and severe pulmonary obstructive disease. Due to the complexity of the case and the lack of availability of endoprosthesis, surgical procedure was performed ( Figure 4 ) by performing an aorto-biiliac bypass with a Dacron 18x9mm, prosthesis ( Figure 5 ). The patient had a good postoperative course; however, she had an AF postoperative complication, so she was able to be discharged...