{"id":116238,"date":"2016-08-31T10:14:16","date_gmt":"2016-08-31T14:14:16","guid":{"rendered":"https:\/\/today.uconn.edu\/?p=116238"},"modified":"2016-08-31T10:20:14","modified_gmt":"2016-08-31T14:20:14","slug":"vascular-surgeon-helps-patient-beat-survival-odds","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2016\/08\/vascular-surgeon-helps-patient-beat-survival-odds\/","title":{"rendered":"Vascular Surgeon Helps Patient Beat Survival Odds"},"content":{"rendered":"<p>Michael Poulin, 70, of West Hartford woke up at 2 a.m. on July 1 with severe abdominal pain.<\/p>\n<p>\u201cI wondered if maybe I had something bad to eat?\u201d he recalls.<\/p>\n<p>Three hours later, unable to sleep and his abdominal pain worsening, he collapsed on to the floor from the pain. Thankfully, his wife heard him fall and called 9-1-1.<\/p>\n<p>The ambulance brought Poulin to the Emergency Department at UConn John Dempsey Hospital, where a swift imaging exam confirmed that he had an abdominal aortic aneurysm (AAA), a ballooning of the aorta. It is the body\u2019s largest blood vessel that carries blood from the heart to the chest and the lower abdomen.<\/p>\n<figure id=\"attachment_116241\" aria-describedby=\"caption-attachment-116241\" style=\"width: 300px\" class=\"wp-caption alignright\"><a href=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1.png\"><img decoding=\"async\" class=\"wp-image-116241 img-responsive lazyload\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1.png\" alt=\"Michael Poulin's medical scan shows the ballooning and rupturing of his aorta from about 3 cm to 14 cm.\" width=\"300\" height=\"300\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1.png 1024w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-150x150.png 150w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-300x300.png 300w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-768x768.png 768w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-420x420.png 420w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-100x100.png 100w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-275x275.png 275w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-32x32.png 32w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-50x50.png 50w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-64x64.png 64w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-96x96.png 96w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-1-128x128.png 128w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/a><figcaption id=\"caption-attachment-116241\" class=\"wp-caption-text\">Michael Poulin&#8217;s medical scan shows the ballooning and rupturing of his aorta to 14 cm from about 3 cm.<\/figcaption><\/figure>\n<p>The aorta is normally 3 cm or less in diameter. His aortic artery had enlarged to 14 cm and began to rupture.<\/p>\n<p>Aneurysms are often referred to as \u2018silent killers\u2019 or \u2018ticking time bombs.\u2019 \u00a0If identified early by doctors, they are monitored closely and surgically repaired before they get bigger than 5.5 cm, to avoid the danger of potential and often deadly rupture.<\/p>\n<p>\u201cAortic ruptures have a more than 80 percent mortality rate,\u201d says <a href=\"http:\/\/uconndocs.uchc.edu\/Home\/\/Physician?profileId=Indes-Jeffrey\">Dr. Jeffrey Indes<\/a>, chief of the Division of Vascular Surgery at UConn Health.<\/p>\n<p>Poulin says when the doctor showed him his medical scan, his ruptured artery looked like a &#8220;big round moon.&#8221;<\/p>\n<p>Poulin had no symptoms or risk factors of an aneurysm prior to his sudden onset of abdominal pain \u2013 besides being a male over 60 years of age. However, in April 2015 he did experience some trauma to his chest during an automobile accident, from the severe jolt to his car and the force of a deployed airbag. He believes this chest trauma may have been the root cause of his weakened aorta.<\/p>\n<p>Risk factors for aneurysm can include being a smoker, a family history of the disease, and high blood pressure. Often, the diagnosis of an enlarged or ballooning aorta can only be made via a vascular ultrasound screening by a primary care physician or vascular medicine expert.<\/p>\n<figure id=\"attachment_116243\" aria-describedby=\"caption-attachment-116243\" style=\"width: 200px\" class=\"wp-caption alignleft\"><img decoding=\"async\" class=\"wp-image-116243 img-responsive lazyload\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Indes-from-web-2-234x300.jpg\" alt=\"Dr. Jeffrey Indes\" width=\"200\" height=\"257\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Indes-from-web-2-234x300.jpg 234w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Indes-from-web-2.jpg 244w\" data-sizes=\"(max-width: 200px) 100vw, 200px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 200px; --smush-placeholder-aspect-ratio: 200\/257;\" \/><figcaption id=\"caption-attachment-116243\" class=\"wp-caption-text\">Dr. Jeffrey Indes, chief of the Division of Vascular Surgery at UConn Health, performed Michael Poulin&#8217;s life-saving surgery. (Janine Gelineau\/(UConn Health Photo)<\/figcaption><\/figure>\n<p>Indes and his UConn Health vascular surgery team operated on Poulin right away, implanting the latest available endograft technology, made by Cook Medical. The flexible stent allowed surgeons to more quickly apply a seal to the aortic tear and stabilize the vessel to repair the rupturing aneurysm.<\/p>\n<p>\u201cThis is one lucky patient,&#8221; Indes says, &#8220;and we are very happy to have been able to work together at UConn Health to repair his rupturing aorta quickly and have such a good patient outcome.\u201d<\/p>\n<p>Poulin is very grateful for the rapid, lifesaving emergency and vascular surgery care he received at UConn John Dempsey Hospital.<\/p>\n<p>\u201cYou can\u2019t do better than what they did for me,\u201d he says. \u201cI am very fortunate to have made it.<\/p>\n<p>\u201cFrom the paramedics at my home, to the ED, to Dr. Indes and all the nurses, there was a big team effort to get me to the OR,&#8221; he adds. &#8220;Through the whole process and recovery in the ICU and then the 5th floor of the hospital, they all are just the best. You couldn\u2019t beat their care.\u201d<\/p>\n<p>After surgery, he recalls telling Dr. Dan Walker on Indes&#8217;s team, \u201cI just couldn\u2019t be happier!\u201d<\/p>\n<p>\u201cI thank everyone, including the guy upstairs,\u201d says Poulin.<\/p>\n<p>Poulin was discharged home on July 4, just three days after the emergency aortic repair surgery, and now feels almost back to normal.<\/p>\n<figure id=\"attachment_116245\" aria-describedby=\"caption-attachment-116245\" style=\"width: 300px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"wp-image-116245 size-medium img-responsive lazyload\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-300x300.png\" alt=\"Endograft scan\" width=\"300\" height=\"300\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-300x300.png 300w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-150x150.png 150w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-420x420.png 420w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-100x100.png 100w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-275x275.png 275w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-32x32.png 32w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-50x50.png 50w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-64x64.png 64w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-96x96.png 96w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected-128x128.png 128w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2016\/08\/Aortic-Rupture-Michael-Poulin-Stent-Graft-corrected.png 512w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><figcaption id=\"caption-attachment-116245\" class=\"wp-caption-text\">An MRI scan post-surgery shows Poulin&#8217;s aortic aneurysm repaired successfully with the latest implantable endograft stent technology.<\/figcaption><\/figure>\n<p>As a retiree, he is glad that he can simply follow his doctor\u2019s orders to maintain his future vascular health.<\/p>\n<p>\u201cDr. Indes told me I can go back to doing whatever I want to do! But of course nothing too strenuous and to walk as much as possible and often.\u201d<\/p>\n<p>There are three types of aortic aneurysms that can strike\u00a0\u2013 including abdominal, thoracic, and thoracic\/abdominal aneurysms\u00a0\u2013 affecting the aorta and its supply of blood in both the chest and the abdomen.<\/p>\n<p>\u201cIf you or a family member are over 60, have a family history, or have any of the aneurysm risk factors, talk to your primary care doctor about screening for aneurysm,\u201d says Indes. \u201cIt could save your or the family member\u2019s life.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 70-year-old survived an abdominal aortic aneurysm, thanks to the quick work of his surgeon and UConn John Dempsey Hospital.<\/p>\n","protected":false},"author":98,"featured_media":116239,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[1715,2231,1868,179],"tags":[],"magazine-issues":[],"coauthors":[1873],"class_list":["post-116238","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-community-impact","category-health-well-being","category-meds","category-uconn-health","series-patient-perspective"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-23 15:13:00","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/116238","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/users\/98"}],"replies":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/comments?post=116238"}],"version-history":[{"count":12,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/116238\/revisions"}],"predecessor-version":[{"id":116332,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/116238\/revisions\/116332"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media\/116239"}],"wp:attachment":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media?parent=116238"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/categories?post=116238"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/tags?post=116238"},{"taxonomy":"magazine-issue","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/magazine-issues?post=116238"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/coauthors?post=116238"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}