Hybrid Repair of Suprarenal Abdominal Aortic Aneurysm: Antegrade Debranching with Endovascular Aneurysm Repair.
10.5758/vsi.2014.30.4.151
- Author:
Min Hyun KIM
;
Hong Kyung SHIN
;
Jae Young PARK
;
Taeseung LEE
- Publication Type:Case Report
- Keywords:
Hybrid endovascular repair;
Abdominal aortic aneurysm;
Visceral debranching
- MeSH:
Abdominal Pain;
Aneurysm*;
Aorta, Abdominal;
Aortic Aneurysm, Abdominal*;
Cholecystitis, Acute;
Fever;
Follow-Up Studies;
Humans;
Incidental Findings;
Mesenteric Artery, Superior;
Middle Aged;
Outpatients;
Renal Artery;
Stents
- From:Vascular Specialist International
2014;30(4):151-154
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a hybrid repair approach to the treatment of abdominal aortic aneurysm in patients with complex anatomies when typical endovascular aneurysm repair is limited due to juxtarenal involvement. A 63-year-old man presented with a 3-day history of fever and abdominal pain. He was diagnosed with acute cholecystitis along with incidental findings of two separate aneurysms of the abdominal aorta: a 3.7 cm saccular aneurysm at the suprarenal level, and a 6.6 cm fusiform aneurysm above the iliac bifurcation. He was treated with a hybrid technique involving an open approach for antegrade debranching of the superior mesenteric artery, and renal arteries and endovascular stent placement for treatment of an abdominal aortic aneurysm. The procedure was successfully completed with no adverse events as of the most recent 6-month outpatient follow-up.
