Combined Endovascular/Surgical Management of a Ruptured Para-Anastomotic Aneurysm of the Left Common Iliac Artery

被引:2
|
作者
Maras, Dimitrios [1 ]
Papas, Theofanis T. [1 ]
Gekas, Christos D. [1 ]
Psathas, Chrisovalantis [2 ]
Kotsikoris, Ioannis [1 ]
Nikolaou, Achilleas [1 ]
Pavlidis, Polyvios [1 ]
Andrikopoulos, Vassilios [1 ]
机构
[1] Red Cross Hosp, Dept Vasc Surg, Athens, Greece
[2] Red Cross Hosp, Dept Cardiol 2, Athens, Greece
来源
关键词
Endovascular procedures; high-risk patients; ruptured aneurysm repair; EVAR;
D O I
10.2174/1874192400903010143
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 75-year old man presented with signs and symptoms of acute abdomen and a clinical picture of hypovolemic shock. An emergency CT scan revealed a ruptured para-anastomotic left common iliac artery aneurysm. The patient had undergone an elective abdominal aortic aneurysm repair operation and placement of an aortoiliac bifurcated graft 10 years before. Para-anastomotic aneurysms had developed in all 3 (aortic and the 2 iliac) anastomosis. As the patient was high-risk, a combined endovascular/surgical approach was undertaken. The patient was discharged 4 days later. This article discusses the applicability of endovascular procedures in emergency settings to high-risk patients.
引用
收藏
页码:143 / 146
页数:4
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