A Unique Indication for the Altura Endograft to Repair Bilateral Common Iliac Artery Aneurysms Associated with a Short-Infrarenal Aorta
| Autor: | Konstantinos Katsanos, Anastasia Kouri, Spyros Papadoulas, Chrysanthi P. Papageorgopoulou, Konstantinos M. Nikolakopoulos, Eleni Tsamantioti, Chrysanthi-Helen Loizou, Athina Siampalioti, Ioannis Ntouvas, Stavros K. Kakkos, Peter Zampakis |
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| Rok vydání: | 2020 |
| Předmět: |
Aorta
medicine.medical_specialty iliac artery aneurysm medicine.diagnostic_test business.industry medicine.medical_treatment Case Report endograft Aortic bifurcation embolization medicine.disease Common iliac artery Internal iliac artery Aneurysm medicine.anatomical_structure medicine.artery Angiography medicine Radiology Nuclear Medicine and imaging Surgery Embolization Radiology Cardiology and Cardiovascular Medicine business Computed tomography angiography |
| Zdroj: | AORTA Journal |
| ISSN: | 2325-4637 |
| Popis: | A 71-year-old man with end-stage renal disease on hemodialysis presented with bilateral common iliac artery aneurysms diagnosed during the workup of his chronic kidney disease. On computed tomography angiography, common iliac artery aneurysm diameters measured 6.1 cm on the right side and 3.1 cm on the left side. The infrarenal aorta also had a small 3.2-cm aneurysm, but the length from the lowest left renal to the aortic bifurcation was only 6.7 cm, precluding use of most bifurcated endografts. Following an uneventful staged preoperative internal iliac artery embolization, a two-piece D-shaped Altura endograft for the aorta, with bilateral iliac components, landing at the level of the external iliac arteries was successfully performed. Postoperative course was uneventful with no endoleak or endograft migration on computerized tomographic angiography 45 days later, although billowing mimicking an endoleak was evident and will be closely followed. |
| Databáze: | OpenAIRE |
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