caa a22 4500 475753623 CHVBK 20180406123531.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s005950070094 doi (NATIONALLICENCE)springer-10.1007/s005950070094 Adverse outcome following transfemoral endovascular stent-graft repair of an abdominal aortic aneurysm in a patient with severe liver dysfunction: Report of a case [Elektronische Daten] [Nobusuke Ohara, Tetsuro Miyata, Hidemi Oshiro, Hiroshi Shigematsu, Takao Ohki] We describe herein the case of a patient with severe liver failure in whom an abdominal aortic aneurysm (AAA) extending to the right iliac artery was diagnosed. Because the risk of performing a standard open repair was considered too high in this patient, the aneurysm was uneventfully repaired using a technique of transfemoral endovascular stent-grafting with femorofemoral bypass and occlusion of the left common and right internal iliac arteries. Unfortunately, multiorgan failure associated with adult respiratory distress syndrome (ARDS) and disseminated intravascular coagulation (DIC) suddenly developed on postoperative day (POD) 2 and the patient died on POD 9. Thus, although endovascular stent-grafting is generally assumed to be less invasive and therefore feasible for high-risk patients, patients with severe liver dysfunction may not be suitable candidates. Springer-Verlag, 2000 Endovascular stented graft nationallicence Aortic aneurysm nationallicence Liver cirrhosis nationallicence Ohara Nobusuke Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Miyata Tetsuro Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Oshiro Hidemi Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Shigematsu Hiroshi Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut Ohki Takao Division of Vascular Surgery, Department of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th Street, 10467, New York, NY, USA aut Surgery Today Springer-Verlag 30/8(2000-08-01), 764-767 0941-1291 30:8<764 2000 30 595 https://doi.org/10.1007/s005950070094 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070094 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ohara Nobusuke Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Miyata Tetsuro Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Oshiro Hidemi Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Shigematsu Hiroshi Division of Vascular Surgery, Department of Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113-8655, Tokyo, Japan aut NATIONALLICENCE 700 1- Ohki Takao Division of Vascular Surgery, Department of Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, 111 East 210th Street, 10467, New York, NY, USA aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/8(2000-08-01), 764-767 0941-1291 30:8<764 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer