2021 Volume 25 Issue 1 Pages 89-93
Purpose: We investigated intraoperative and postoperative management of branched artery ligation and stent graft-conserving aneurysmorrhaphy, a type 2 endoleak repair surgery after endovascular aortic repair (EVAR).
Method: We retrospectively examined the intraoperative and postoperative course of four patients who underwent this procedure at our hospital. The results are expressed as median [interquartile range].
Result: The elapsed time since EVAR was 42 [29~58] months, operation time was 161 [150~174] minutes, anesthesia time was 235 [226~257] minutes, and bleeding volume was 167 [141~233] mL. In one case, the amount of bleeding during surgery was 3069 mL; hence, operative blood salvage and blood transfusion were performed. The postoperative length of hospital stay was 13 [11~15] days. None of the patients developed postoperative infection.
Conclusion: The postoperative course of all patients was uneventful. However, massive bleeding during surgery should be considered during anesthesia management.
