Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200173
Jornal Vascular Brasileiro
Therapeutic Challenge

Emergency endovascular repair of aortoiliac aneurysms in COVID-19 times

Tratamento endovascular das emergências dos aneurismas aortoilíacos em tempos de COVID-19

Rafael de Athayde Soares; Marcus Vinícius Martins Cury; Luiz Maurício da Silva Júnior; Patrícia Weiber Schettini Figueiredo; Danilo Augusto Pereira Nery da Costa; Camila de Freitas Correa; Nayara de Arruda Cáceres; Roberto Saciloto

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Abstract

Abstract: In this paper, we describe a case series of four patients who were admitted with emergencies related to aortic aneurysms over a 3-day period and were treated with endovascular repair. The first patient was an 81-year-old female with a history of abdominal pain and a ruptured aortic aneurysm diagnosed by AngioCT-scan. The second patient was a 63-year-old male with a history of oral digestive bleeding and an AngioCT-scan showing an aortoenteric fistula. The third patient was a 77-year-old female with sudden-onset abdominal pain and ruptured right common iliac aneurysm. The fourth patient presented with abdominal pain and an AngioCT-scan showed aortic rupture. All four patients were discharged with no major complications or surgical mortality. These case series show that despite the Covid-19 pandemic situation, since elective surgeries decreased, vascular emergencies have increased.

Keywords

COVID-19, endovascular surgery, aortic surgery, ruptured aortic aneurysms

Resumo

Resumo: Relatamos uma série de casos de quatro pacientes consecutivos, admitidos com emergências relacionadas a aneurismas aortoilíacos em um período de 3 dias e submetidos a tratamento endovascular. A primeira paciente, do sexo feminino, com 81 anos e com histórico de aneurisma da aorta, apresentou dor abdominal iniciada nos últimos 12 dias. O segundo paciente era do sexo masculino, com 63 anos e foi admitido com hematêmese 3 dias antes da admissão, com angiotomografia demonstrando fistula aortoentérica. A terceira paciente, do sexo feminino e com 77 anos, foi admitida com quadro de ruptura de aneurisma da artéria ilíaca comum direita. O quarto paciente consecutivo apresentou dor abdominal iniciada 2 semanas antes da internação e aneurisma roto da aorta. Todos os quatro pacientes apresentaram emergências aortoilíacas e receberam alta sem complicações maiores ou mortalidade cirúrgica. O relato desta série de casos demonstra que, apesar da situação pandêmica da COVID-19, uma vez que as cirurgias eletivas diminuíram, as urgências vasculares aumentaram.
 

Palavras-chave

COVID-19, tratamento endovascular, aneurisma de aorta, cirurgia da aorta

References

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Submitted date:
08/13/2020

Accepted date:
09/28/2020

60ddc19aa9539520b52a83f2 jvb Articles
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