Ruptured AAA in a patient with a horseshoe kidney: emergent treatment using the talent acute endovascular aneurysm repair kit.
J Endovasc Ther
; 10(2): 240-3, 2003 Apr.
Article
em En
| MEDLINE
| ID: mdl-12877605
ABSTRACT
PURPOSE:
To report emergent endovascular repair of a ruptured abdominal aortic aneurysm (AAA) in a patient with a horseshoe kidney. CASE REPORT A 78-year-old man with a horseshoe kidney presented with a contained rupture of a 72-mm AAA. After urgent computed tomographic angiography (CTA) documented the blood supply to the kidney and the suitability of the aneurysm for endovascular repair, the patient was given a local anesthetic. An aortomonoiliac stent-graft constructed from components provided in a Talent Acute Endovascular Aneurysm Repair Kit was inserted successfully. The procedure was completed with placement of a contralateral common iliac artery occluder and a femorofemoral bypass graft. No complications were encountered, and the patient was discharged with an excluded aneurysm on the fourth postoperative day. At 3 months, aneurysm exclusion was confirmed by CTA, and no endoleak was present; the retroperitoneal hematoma had disappeared. The patient remains in good general condition 8 months after treatment.CONCLUSIONS:
The advantages of endovascular aneurysm repair in the emergency setting can facilitate rapid recovery in patients with symptomatic or ruptured aneurysms, especially those having a horseshoe kidney.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ruptura Aórtica
/
Aneurisma da Aorta Abdominal
/
Angioplastia
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Implante de Prótese Vascular
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Tratamento de Emergência
/
Rim
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article