Acute Testicular Ischaemia Following Endovascular Aneurysm Repair on the Opposite Side to Intentional Internal Iliac Artery Occlusion
| Autor: | Ioannis Peteinarakis, Konstantinos Tzirakis, Nikolaos Kontopodis, Androniki Kozana, Christos V. Ioannou, Alexandros Kafetzakis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
endocrine system
lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Testicular infarct Complications Common iliac aneurysm medicine.medical_treatment lcsh:Surgery Ischemia Case Report 030204 cardiovascular system & hematology Endovascular aneurysm repair 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine medicine.artery Occlusion medicine Iliac Aneurysm cardiovascular diseases business.industry Embolisation lcsh:RD1-811 medicine.disease Internal iliac artery Abdominal aortic aneurysm Surgery lcsh:RC666-701 cardiovascular system Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | EJVES Short Reports EJVES Short Reports, Vol 43, Iss, Pp 28-32 (2019) |
| ISSN: | 2405-6553 |
| Popis: | Introduction Testicular ischaemia is a potential complication after endovascular aneurysm repair (EVAR), which has only rarely been reported in the literature. This is the report of a patient who presented with acute testicular ischaemia in the immediate post-EVAR period. Report A 65 year old patient underwent EVAR for an aortic and bilateral iliac aneurysms. During the procedure, the right internal iliac artery was intentionally occluded to facilitate treatment of the common iliac aneurysm; however, the left internal iliac artery was preserved. The procedure was uneventful. On the second post-operative day the patient gradually developed symptoms of acute left testicular ischaemia. Clinical and ultrasonographic findings constituted the bases of diagnosis and the patient received conservative treatment with gradual improvement. To the authors’ knowledge, this is the ninth case of testicular ischaemia after endovascular aneurysm repair reported in the literature. Conclusion Testicular ischaemia, although rare, is a possible complication post-EVAR. Acute and chronic testicular damage found in association with an abdominal aortic aneurysm or its treatment has not been well studied in the literature and therefore may be under reported. Highlights • Acute testicular ischaemia, although rare, may occur in the immediate post-EVAR period. • Changes in testicular perfusion caused by AAA and/or EVAR are not well understood and may be under-reported. • Distal embolisation or inflow compromise are two possible mechanisms that may result in testicular infarction after EVAR. |
| Databáze: | OpenAIRE |
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