Endovascular Treatment of a Late False Aneurysm Complicating Open Suprarenal Mycotic Aneurysm Repair with a Cryopreserved Aortic Homograft
Autor: | Tina Tomić Mahečić, Mladen Petrunić, Damir Halužan, Tomislav Meštrović, Dražen Perkov |
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Rok vydání: | 2018 |
Předmět: |
Male
medicine.medical_specialty Computed Tomography Angiography medicine.medical_treatment 030204 cardiovascular system & hematology Anastomosis Aortography 030218 nuclear medicine & medical imaging 03 medical and health sciences Aortic aneurysm Blood Vessel Prosthesis Implantation 0302 clinical medicine Aneurysm Multidetector Computed Tomography medicine Humans cardiovascular diseases Endovascular treatment Aorta Aged Bioprosthesis Cryopreservation medicine.diagnostic_test business.industry Endovascular Procedures Stent General Medicine Mycotic aneurysm medicine.disease Allografts Surgery Aortic Aneurysm Blood Vessel Prosthesis surgical procedures operative Treatment Outcome Angiography cardiovascular system Stents Cardiology and Cardiovascular Medicine business Aneurysm Infected Aneurysm False |
Zdroj: | Annals of vascular surgery. 56 |
ISSN: | 1615-5947 |
Popis: | We report a patient who was initially treated for a suprarenal mycotic aortic aneurysm. The aneurysm repair was performed using a cryopreserved arterial homograft and debranching of visceral arteries. Five years later, the patient was referred due to a large symptomatic false aneurysm at the distal homograft anastomosis. Endovascular repair was indicated and performed using a bifurcated Medtronic composite stent graft. The procedure was uneventful, while control angiography showed complete exclusion of the false aneurysm. Within 6 months of follow-up, the endograft showed favorable position and maintained patency with no signs of endoleaks. We discuss the role of the cryopreserved homografts for in situ repair of mycotic aortic aneurysms and comment on possible late complications after placing those grafts. |
Databáze: | OpenAIRE |
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