Purpose: To report the use of an aortic endograft to treat a ruptured false aneurysm at the anastomosis of an aortofemoral bypass graft. Methods and Results: A 68-year-old man with a 30-year-old aorto-right femoral bypass and multiple comorbidities was admitted to the hospital complaining of acute abdominal pain. Imaging identified a 60-mm ruptured aortic false aneurysm with associated retroperitoneal hematoma, a 9-cm right femoral false aneurysm, and a calcified 23-mm left common iliac aneurysm. Two slightly overlapping Vanguard straight stent-grafts were implanted in the aorta and left common iliac artery in an emergency procedure owing to the patient's high surgical risk. The anastomotic false aneurysm and the bypass were excluded. A left-to-right femorofemoral bypass was performed to re-establish flow to the right femoral artery with ligation of the external iliac artery. The patient recovered uneventfully. He remained well with a successful repair until his death of a myocardial infarction 6 months after the procedure. Conclusions: Endovascular grafting can be used successfully for the urgent treatment of aortic false aneurysm rupture.
Documento: | Artículo |
Título: | Acute rupture of an aortic false aneurysm treated with a stent-graft |
Autor: | Schonholz, C.; Donnini, F.; Naselli, G.; Pocovi, A.; Parodi, J.C. |
Filiación: | Ramsay 1945.8C, 1428 Capital Federal, Buenos Aires, Argentina |
Palabras clave: | Anastomotic aneurysms; Aortofemoral bypass; Endovascular grafting; Iliac arteries; Vanguard; ioversol; aged; aneurysm rupture; angiography; aorta aneurysm; article; blood vessel graft; bypass surgery; case report; computer assisted tomography; false aneurysm; human; male; priority journal; stent; Acute Disease; Aged; Anastomosis, Surgical; Aneurysm, False; Angiography; Aorta, Abdominal; Aortic Aneurysm, Abdominal; Aortic Rupture; Blood Vessel Prosthesis Implantation; Fatal Outcome; Femoral Artery; Humans; Male; Postoperative Complications; Reoperation; Stents; Tomography, X-Ray Computed |
Año: | 1999 |
Volumen: | 6 |
Número: | 3 |
Página de inicio: | 293 |
Página de fin: | 296 |
DOI: | http://dx.doi.org/10.1583/1074-6218(1999)006<0293:AROAAF>2.0.CO;2 |
Título revista: | Journal of Endovascular Surgery |
Título revista abreviado: | J. Endovasc. Surg. |
ISSN: | 10746218 |
CODEN: | JESUF |
Registro: | https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10746218_v6_n3_p293_Schonholz |