Download PDF
Int J Angiol
DOI: 10.1055/s-0041-1740316
Case Report

Endovascular Procedure in Patient with Ruptured Abdominal Aortic Aneurysm after High-Risk Early Percutaneous Coronary Intervention

Taofan Taofan 
1   Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/Harapan Kita National Cardiovascular Center, Jakarta, Indonesia
,
Suko Adiarto
1   Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/Harapan Kita National Cardiovascular Center, Jakarta, Indonesia
,
Suci Indriani
1   Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/Harapan Kita National Cardiovascular Center, Jakarta, Indonesia
,
Arindya Rezeki
1   Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/Harapan Kita National Cardiovascular Center, Jakarta, Indonesia
,
Emanoel Oepangat
2   Department of Cardiology and Vascular Medicine, Siloam Hospital TB Simatupang, Jakarta, Indonesia
,
Rony Marethianto Santoso
3   Department of Cardiology and Vascular Medicine, Primaya Hospital, Tangerang, Indonesia
› Author Affiliations
› Further Information
    Permissions and Reprints

Abstract

Purpose The aim of the study is to present the success of an endovascular procedure for ruptured abdominal aortic aneurysm (AAA) patient with high-risk non-ST elevation myocardial infarct (NSTEMI) after early percutaneous coronary intervention (PCI).

Case Report A 56-year-old man came to our emergency room with a history of early PCI in the previous hospital and received dual antiplatelet therapy (DAPT). His COVID-19 test result was unknown. This patient was then being re-examined and was diagnosed with ruptured AAA. Despite his pending COVID-19 laboratory results, we decided to perform an urgent endovascular aortic repair (EVAR) in this patient, considering his DAPT consumption history. The procedure was successful and the patient's condition after EVAR showed improvements.

Conclusion In patients with ruptured AAA with high-risk NSTEMI who just underwent early PCI and recently received DAPT, endovascular procedure can be considered as the treatment of choice since open surgery repair is contraindicated.

Keywords

endovascular procedure - EVAR - CAD - PCI - ruptured abdominal aortic aneurysm - AAA - dual antiplatelet therapy


Publication History

Article published online:
19 April 2022

© 2022. International College of Angiology. This article is published by Thieme.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • Reference

  • 1 European Society of Cardiology. 2014. ESC Guidelines on the diagnosis and treatment of aortic disease. Accessed November 5, 2020 at: http://www.cmrguide.com/Contents/Aorta_ESC_Guidelines.pdf
    PubMedGoogle Scholar
  • 2 Pecoraro F, Wilhelm M, Kaufmann AR. et al. Early endovascular aneurysm repair after percutaneous coronary interventions. J Vasc Surg 2015; 61 (05) 1146-1150
    CrossrefPubMedGoogle Scholar
  • 3 Durieux R, Van Damme H, Labropoulos N. et al. High prevalence of abdominal aortic aneurysm in patients with three-vessel coronary artery disease. Eur J Vasc Endovasc Surg 2014; 47 (03) 273-278
    CrossrefPubMedGoogle Scholar
  • 4 Silverstein Sr P, Chaikof EL, Ballard DJ. Abdominal aortic aneurysm (AAA): cost-effectiveness of screening, surveillance of intermediate-sized AAA, and management of symptomatic AAA. BUMC Proc 2005; 18: 345-367
    PubMedGoogle Scholar
  • 5 Bown MJ, Sweeting MJ, Brown LC, Powell JT, Thompson SG, Thompson SG. RESCAN Collaborators. Surveillance intervals for small abdominal aortic aneurysms: a meta-analysis. JAMA 2013; 309 (08) 806-813
    CrossrefPubMedGoogle Scholar
  • 6 Aggarwal S, Qamar A, Sharma V, Sharma A. Abdominal aortic aneurysm: a comprehensive review. Exp Clin Cardiol 2011; 16 (01) 11-15
    PubMedGoogle Scholar
  • 7 Rahimi SA. Abdominal aortic aneurysm clinical presentation. 2019 Accessed November 5, 2020 at: https://emedicine.medscape.com/article/1979501-clinical
    PubMedGoogle Scholar
  • 8 Antenello M. Ruptured Abdominal Aortic Aneurysms. In: Grundmann RT. ed. Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms; 2011. Germany: InTech;
    Google Scholar
  • 9 Harky A, Grafton-Clarke C, Chen KW. et al. Ruptured abdominal aortic aneurysm: open vs. endovascular repair: literature review. Interv Cardiol 2018; 10 (03) 55-63
    CrossrefPubMedGoogle Scholar
  • 10 Kim HO, Yim NY, Kim JK, Kang YJ, Lee BC. Endovascular aneurysm repair for abdominal aortic aneurysm: a comprehensive review. Korean J Radiol 2019; 20 (08) 1247-1265
    CrossrefPubMedGoogle Scholar