Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Resuscitative Endovascular Balloon Occlusion of the Aorta for an Iliac Artery Aneurysm: Case Report

  • Chang, Sung Wook (Trauma Center, Dankook University Hospital) ;
  • Chun, Sangwook (Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital) ;
  • Lee, Gyeongho (Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital) ;
  • Seo, Pil Won (Department of Thoracic and Cardiovascular Surgery, Dankook University Hospital)
  • Received : 2020.09.25
  • Accepted : 2020.10.22
  • Published : 2021.10.05
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Abstract

Isolated iliac artery aneurysm (IAA) is rare, but can be fatal. Emergency surgery is performed in cases of hemorrhagic shock due to a suddenly ruptured IAA, which may have a high mortality rate because of massive non-compressible torso hemorrhage (NCTH). Recently, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been accepted as an alternative to aortic cross-clamping via open thoracotomy to achieve hemostasis in trauma patients with profound shock due to NCTH and is considered an emerging bridging therapy for damage control. However, there is limited information on the use of REBOA in non-trauma patients with shock. Herein, we describe a patient with impending cardiac arrest due to isolated ruptured IAA, in whom perioperative bleeding was successfully controlled by REBOA.

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References

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