Placement of an aortomonoiliac stent graft without femorofemoral revascularization in endovascular aneurysm repair: a case reportReportar como inadecuado




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Journal of Medical Case Reports

, 5:365

First Online: 12 August 2011Received: 14 January 2011Accepted: 12 August 2011DOI: 10.1186-1752-1947-5-365

Cite this article as: Keese, M., Niedergethmann, M., Schoenberg, S. et al. J Med Case Reports 2011 5: 365. doi:10.1186-1752-1947-5-365

Abstract

IntroductionEndovascular aortic repair, if technically feasible, is the treatment of choice for patients with a contained ruptured aortic aneurysm who are unfit for open surgery.

Case presentationWe report the case of an 80-year-old Caucasian man who presented with an unusually configured, symptomatic infrarenal aortic aneurysm. His aneurysm showed an erosion of the fourth lumbar vertebra and a severely arteriosclerotic pelvic axis. A high thigh amputation of his right leg had been performed 15 months previously. On his right side, occlusion of his external iliac artery, common femoral artery, and deep femoral artery had occurred. His aneurysm was treated by a left-sided aortomonoiliac stent graft without femorofemoral revascularization, resulting in occlusions of both internal iliac arteries. No ischemic symptoms appeared, although perfusion of his right side was maintained only over epigastric collaterals.

ConclusionsThe placement of aortomonoiliac stent grafts for endovascular treatment of infrarenal aortic aneurysms without contralateral revascularization is a feasible treatment option in isolated cases. In this report, access problems and revascularization options in endovascular aneurysm repair are discussed.

AbbreviationsCTcomputed tomography

EVARendovascular aneurysm repair.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-5-365 contains supplementary material, which is available to authorized users.

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Autor: Michael Keese - Marco Niedergethmann - Stefan Schoenberg - Steffen Diehl

Fuente: https://link.springer.com/







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