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Concomitant Renal Artery and Aortic Aneurysm: Is Endovascular Surgery the Correct Approach?
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2019 Nov; Vol. 61, pp. 473.e1-473.e5. Date of Electronic Publication: 2019 Aug 05. - Publication Year :
- 2019
-
Abstract
- Our case illustrates the concomitant presence of a giant aneurysm of the left renal artery at the ostium and an abdominal aortic aneurysm, in presence of a complex aortic anatomy. Type of approach and timing of the treatment is still not well established for the rare coexistence of these 2 pathologies. In case of surgical high-risk patients, endovascular therapy is considered now the best choice to exclude arterial and aortic aneurysms although there are chances to do further interventions in the follow-up. For this reason, we simultaneously treated both the aneurysms through an embolization with plugs and coils of renal aneurysm and endovascular exclusion of aortic aneurysm; in the follow-up, renal function of the patient worsened until hemodialysis and we saw the reperfusion of renal aneurysm and the onset of endoleak I type A from above the aortic and renal aneurysm and B from iliac legs of the previous endograft. We performed a parallel graft technique on visceral vessels to exclude the refilling of both aneurysms and preserve visceral vascularization. Follow-up at 12 months showed the complete exclusion of the aneurysms and the patency of stents in celiac trunk and superior mesenteric artery.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Aged
Aneurysm complications
Aneurysm diagnostic imaging
Aneurysm physiopathology
Aortic Aneurysm, Abdominal complications
Aortic Aneurysm, Abdominal diagnostic imaging
Aortic Aneurysm, Abdominal physiopathology
Blood Vessel Prosthesis
Humans
Male
Stents
Treatment Outcome
Aneurysm therapy
Aortic Aneurysm, Abdominal surgery
Blood Vessel Prosthesis Implantation instrumentation
Embolization, Therapeutic instrumentation
Endovascular Procedures instrumentation
Renal Artery diagnostic imaging
Renal Artery physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 61
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Report
- Accession number :
- 31394217
- Full Text :
- https://doi.org/10.1016/j.avsg.2019.05.055