case_images: PMC11771148_01
case_images: Fig. 1 (A) Preoperative enhanced CT showed a 51-mm AAA. (B) Preoperative three-dimensional CT. (C) The post-EVAR angiogram of the abdominal aortic artery demonstrated preservation of both internal iliac arteries with no endoleak. (D) Postoperative CT showed exclusion of the aneurysm preservation of both renal arteries as well as both internal iliac arteries with no endoleak. CT: computed tomography; AAA: abdominal aortic aneurysm; EVAR: endovascular aortic repair
case_images: avd-18-1-24-00107-figure01.jpg
case_images: PMC11771148_01_avd-18-1-24-00107-figure01.jpg
case_images: figure1
case_images: An 83-year-old man was referred to our department for a 51-mm AAA (Figs. 1A and 1B) that was unexpectedly found by computed tomography. The post-EVAR angiogram of the abdominal aortic artery demonstrated preservation of both iliac arteries with no endoleak (Fig. 1C). Follow-up computed tomography confirmed the successful exclusion of the aneurysm with no endoleak (Fig. 1D).
case_images: Fig. 2 (A) Livedo reticularis of the upper extremities and (B) livedo reticularis of the lower extremities during cold exposure.
case_images: avd-18-1-24-00107-figure02.jpg
case_images: PMC11771148_01_avd-18-1-24-00107-figure02.jpg
case_images: figure2
case_images: During exposure to cold exposures such as air conditioning, the patient presented with livedo reticularis of the upper and lower extremities (Figs. 2A and 2B).
case_images: Fig. 3 (A) Anesthesia progress records revealed the real-time bladder temperatures during the operation. (B) The line graphs show the values of perioperative Hb, Ht, T-bil, and D-bil. T-bil: total bilirubin; D-bil: direct bilirubin
case_images: avd-18-1-24-00107-figure03.jpg
case_images: PMC11771148_01_avd-18-1-24-00107-figure03.jpg
case_images: figure3
case_images: The patient's core temperature was monitored by the bladder sensors and maintained at 37 C-38 C during his stay in the operating room (Fig. 3A). Decreased Hb and Ht levels and increased total bilirubin levels were temporarily observed during the postoperative period (Fig. 3B).