Two-Stage Endovascular Repair for Concurrent Penetrating Atherosclerotic Ulcers of the Thoracic and Abdominal Aorta.
10.5090/kjtcs.2013.46.5.365
- Author:
Joon Hyuk KONG
1
;
Kang Seok BAEK
;
Woo Hyung KWUN
;
Young Hwan KIM
;
Duk Sil KIM
;
Sung Wan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Korea. joonhyukkong@empal.com
- Publication Type:Case Report
- Keywords:
Aortic aneurysm;
Endovascular procedures;
Contrast media;
Spinal cord ischemia
- MeSH:
Aneurysm;
Aorta, Abdominal;
Aorta, Thoracic;
Aortic Aneurysm;
Contrast Media;
Endovascular Procedures;
Humans;
Spinal Cord Ischemia;
Stents;
Ulcer
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2013;46(5):365-368
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of concurrent saccular aneurysms caused by a penetrating atherosclerotic ulcer of the thoracic and abdominal aorta that were successfully treated by staged endovascular repair. Even though surgical open repair or endovascular repair is the treatment option, use of endovascular repair is now accepted as an alternative treatment to surgery in selected patients. To prevent contrast medium-induced nephropathy and spinal cord ischemia caused by a simultaneous endovascular procedure, a saccular aneurysm of the descending thoracic aorta was excluded by stent graft, followed by the placement of a bifurcated stent graft in the infrarenal abdominal aorta one month later.
