Endovascular repair of perisplanchnic abdominal aortic aneurysm with visceral vessel transposition.
J Endovasc Ther
; 7(5): 410-4, 2000 Oct.
Article
em En
| MEDLINE
| ID: mdl-11032261
ABSTRACT
PURPOSE:
To report a combined endoluminal and open surgical approach for a suprarenal abdominal aortic aneurysm (AAA) with coexistent splanchnic vessel stenoses. METHODS ANDRESULTS:
A 64-year-old man presented with an aneurysm of the proximal abdominal aorta and severe stenoses of the celiac axis and superior mesenteric artery (SMA). An initial 2-stage plan to stent the visceral vessel stenoses and exclude the aneurysm with a fenestrated stent-graft failed when the celiac lesion could not be crossed. The approach was changed to restore visceral perfusion with a bifurcated left iliosplenic and ilio-SMA bypass graft. Exclusion of the aneurysm was achieved with a custom-made suprarenal aortic tube stent-graft (Ivancev-Malmö) system. The patient is free of symptoms at 22 months, and there was no aneurysm visible on the 14-month CT scan.CONCLUSIONS:
Hybrid techniques are an alternative treatment for complex perivisceral aortic aneurysms when total endovascular reconstruction is not possible.
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Base de dados:
MEDLINE
Assunto principal:
Stents
/
Aneurisma da Aorta Abdominal
/
Procedimentos Cirúrgicos Minimamente Invasivos
/
Implante de Prótese Vascular
Idioma:
En
Ano de publicação:
2000
Tipo de documento:
Article