Premium
Two‐stage surgery to repair a dissecting abdominal aortic aneurysm in a severely obese patient: Open bifurcated graft replacement after laparoscopic sleeve gastrectomy
Author(s) -
Shioi Yoshihiro,
Sasaki Akira,
Nitta Hiroyuki,
Umemura Akira,
Baba Shigeaki,
Iwaya Takeshi,
Kimura Yusuke,
Otsuka Koki,
Koeda Keisuke,
Mizuno Masaru,
Kumagai Kazuya,
Kamada Takeshi,
Mukaida Masayuki,
Okabayashi Hitoshi
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12260
Subject(s) - medicine , surgery , perioperative , abdominal aortic aneurysm , sleeve gastrectomy , aneurysm , stage (stratigraphy) , gastrectomy , obesity , weight loss , cancer , gastric bypass , paleontology , biology
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.