Abstract
We encountered three cases of abdominal and thoracic aortic aneurysms in chronic hemodialysis patients. Case 1 was 48-year-old man who complained of abdominal and back pain. Abdominal CT revealed a DeBakey type IIIb dissecting aneurysm, 10cm in maximal diameter. He underwent graft replacement for the dissecting aneurysm of the infrarenal and thoracic descending aorta. Three months after the surgery, he died due to retroperitoneal abscess following sepsis. Case 2 was a 62-year-old man who complained of abdominal pain and vomiting. Abdominal CT and ultrasonoray revealed an abdominal aortic aneurysm, 5cm in maximal diameter. He underwent graft replacement for infrarenal aortic aneurysm. After surgery, his condition was well maintained but he died from cerebral infarction on the 40th post-operative day. Case 3 was an 81-year-old man who noted an abdominal mass. Abdominal CT revealed an abdominal aneurysm, 5cm in maximal diameter. In this case, conservative treatment was selected because of his high age. The patient is currently well.
Our findings confirmed that early detection and aggressive surgery are necessary for aortic aneurysms in chronic hemodialysis patients, because ruptured aneurysms are critical. Although the surgical treatment for this disease is progressive, it involves some risks. Therefore, careful perioperative management is very important.
