Reparación de aneurisma inferior de la aorta infrarrenal mediante endoprótesis: reporte de caso

Abstract

An abdominal aortic aneurysm is described as a gradual dilation of the vascular wall, which can weaken and rupture. It develops due to high blood pressures that support its passage and are contained by its walls. Its clinical presentation is silent in its early stages, and then as its development progresses, it presents certain symptoms that are not exclusive to it, so its diagnosis mostly occurs incidentally through the use of images in studies. Its clinical picture is not specific for this pathology; therefore, with its evolution, it can generate serious consequences due to the high mortality in this type of patient. For the management of this vascular pathology, a surgical approach using an open technique is recommended when the dilation exceeds 5.5 cm in diameter, due to the lower rate of post-surgical complications presented and favorable recovery in less time. Therefore, this case report aims to describe the clinical case of an abdominal aortic aneurysm at the infrarenal level that occurred in a 72-year- old male patient, who presented low back pain, syncope, and pulsations at the abdominal level. Through complementary imaging examinations and an adequate evaluation, surgical treatment was approached through the open technique with the use of an aortic endoprosthesis in order to achieve a lower rate of complications inherent to the surgical act and improvements in the patient's recovery time