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
Abstract
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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.
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References
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Submitted date:
08/13/2020
Accepted date:
09/28/2020