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Abdominelles Aortenaneurysma

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Akutes Abdomen

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Zusammenfassung

Die häufigste Erkrankung der Aorta ist das abdominelle Aortenaneurysma (AAA). 80–90% aller AAA sind asymptomatisch (silent killer). Ein symptomatisches oder rupturiertes abdominelles Aortenaneurysma stellt eine wichtige, unmittelbar lebensbedrohliche Differenzialdiagnose des akuten Abdomens dar. Eine sofortige gezielte Diagnostik und ggf. gefäßchirurgische Therapie ist daher absolut notwendig. Für die Therapie eines AAA stehen zwei Standardverfahren zur Verfügung: Beim offenen Ersatz (open repair bzw. OR) wird die infrarenale Aorta durch eine Rohr- oder Bifurkationsprothese ersetzt, bei der endovaskulären Therapie (endovascular aortic repair bzw. EVAR) wird das AAA durch die Implantation einer Stent-Prothese über die Leistenarterien ausgeschaltet.

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Authors and Affiliations

  1. Klinik und Poliklinik für Vaskuläre und Endovaskuläre Chirurgie, Klinikum rechts der Isar, Ismaninger Str. 22, D-81675, München

    Univ.-Prof. Dr. med. Hans-Henning Eckstein

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  1. Univ.-Prof. Dr. med. Hans-Henning Eckstein
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  1. LKH Graz Süd-West, Chirurgie, Graz, Österreich

    Hubert Hauser

  2. DGAV e.V., Berlin, Deutschland

    Heinz Johannes Buhr

  3. Universitätsklinik für Chirurgie, Graz, Österreich

    Hans-Jörg Mischinger

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Eckstein, HH. (2016). Abdominelles Aortenaneurysma. In: Hauser, H., Buhr, H., Mischinger, HJ. (eds) Akutes Abdomen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1473-5_44

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  • DOI: https://doi.org/10.1007/978-3-7091-1473-5_44

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