tailieunhanh - Báo cáo y học: "Placement of an aortomonoiliac stent graft without femorofemoral revascularization in endovascular aneurysm repair: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Placement of an aortomonoiliac stent graft without femorofemoral revascularization in endovascular aneurysm repair: a case report. | Keese et al. Journal of Medical Case Reports 2011 5 365 http content 5 1 365 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Placement of an aortomonoiliac stent graft without femorofemoral revascularization in endovascular aneurysm repair a case report Michael Keese1 2 Marco Niedergethmann 1 Stefan Schoenberg3 and Steffen Diehl3 Abstract Introduction Endovascular aortic repair if technically feasible is the treatment of choice for patients with a contained ruptured aortic aneurysm who are unfit for open surgery. Case presentation We report the case of an 80-year-old Caucasian man who presented with an unusually configured symptomatic infrarenal aortic aneurysm. His aneurysm showed an erosion of the fourth lumbar vertebra and a severely arteriosclerotic pelvic axis. A high thigh amputation of his right leg had been performed 15 months previously. On his right side occlusion of his external iliac artery common femoral artery and deep femoral artery had occurred. His aneurysm was treated by a left-sided aortomonoiliac stent graft without femorofemoral revascularization resulting in occlusions of both internal iliac arteries. No ischemic symptoms appeared although perfusion of his right side was maintained only over epigastric collaterals. Conclusions The placement of aortomonoiliac stent grafts for endovascular treatment of infrarenal aortic aneurysms without contralateral revascularization is a feasible treatment option in isolated cases. In this report access problems and revascularization options in endovascular aneurysm repair are discussed. Introduction The trend in the care of patients with an infrarenal aortic aneurysm is to administer endovascular treatment when feasible. This is because grade 1 evidence indicates a decrease in postoperative morbidity a shorter hospital stay a quicker recovery time and a significantly lower early postoperative mortality when endovascular aneurysm repair EVAR is chosen as treatment 1 . .