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spelling paper:paper_10746218_v6_n3_p293_Schonholz2023-06-08T16:05:01Z Acute rupture of an aortic false aneurysm treated with a stent-graft Anastomotic aneurysms Aortofemoral bypass Endovascular grafting Iliac arteries Vanguard ioversol aged aneurysm rupture angiography aorta aneurysm article blood vessel graft bypass surgery case report computer assisted tomography false aneurysm human male priority journal stent Acute Disease Aged Anastomosis, Surgical Aneurysm, False Angiography Aorta, Abdominal Aortic Aneurysm, Abdominal Aortic Rupture Blood Vessel Prosthesis Implantation Fatal Outcome Femoral Artery Humans Male Postoperative Complications Reoperation Stents Tomography, X-Ray Computed Purpose: To report the use of an aortic endograft to treat a ruptured false aneurysm at the anastomosis of an aortofemoral bypass graft. Methods and Results: A 68-year-old man with a 30-year-old aorto-right femoral bypass and multiple comorbidities was admitted to the hospital complaining of acute abdominal pain. Imaging identified a 60-mm ruptured aortic false aneurysm with associated retroperitoneal hematoma, a 9-cm right femoral false aneurysm, and a calcified 23-mm left common iliac aneurysm. Two slightly overlapping Vanguard straight stent-grafts were implanted in the aorta and left common iliac artery in an emergency procedure owing to the patient's high surgical risk. The anastomotic false aneurysm and the bypass were excluded. A left-to-right femorofemoral bypass was performed to re-establish flow to the right femoral artery with ligation of the external iliac artery. The patient recovered uneventfully. He remained well with a successful repair until his death of a myocardial infarction 6 months after the procedure. Conclusions: Endovascular grafting can be used successfully for the urgent treatment of aortic false aneurysm rupture. 1999 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10746218_v6_n3_p293_Schonholz http://hdl.handle.net/20.500.12110/paper_10746218_v6_n3_p293_Schonholz
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic Anastomotic aneurysms
Aortofemoral bypass
Endovascular grafting
Iliac arteries
Vanguard
ioversol
aged
aneurysm rupture
angiography
aorta aneurysm
article
blood vessel graft
bypass surgery
case report
computer assisted tomography
false aneurysm
human
male
priority journal
stent
Acute Disease
Aged
Anastomosis, Surgical
Aneurysm, False
Angiography
Aorta, Abdominal
Aortic Aneurysm, Abdominal
Aortic Rupture
Blood Vessel Prosthesis Implantation
Fatal Outcome
Femoral Artery
Humans
Male
Postoperative Complications
Reoperation
Stents
Tomography, X-Ray Computed
spellingShingle Anastomotic aneurysms
Aortofemoral bypass
Endovascular grafting
Iliac arteries
Vanguard
ioversol
aged
aneurysm rupture
angiography
aorta aneurysm
article
blood vessel graft
bypass surgery
case report
computer assisted tomography
false aneurysm
human
male
priority journal
stent
Acute Disease
Aged
Anastomosis, Surgical
Aneurysm, False
Angiography
Aorta, Abdominal
Aortic Aneurysm, Abdominal
Aortic Rupture
Blood Vessel Prosthesis Implantation
Fatal Outcome
Femoral Artery
Humans
Male
Postoperative Complications
Reoperation
Stents
Tomography, X-Ray Computed
Acute rupture of an aortic false aneurysm treated with a stent-graft
topic_facet Anastomotic aneurysms
Aortofemoral bypass
Endovascular grafting
Iliac arteries
Vanguard
ioversol
aged
aneurysm rupture
angiography
aorta aneurysm
article
blood vessel graft
bypass surgery
case report
computer assisted tomography
false aneurysm
human
male
priority journal
stent
Acute Disease
Aged
Anastomosis, Surgical
Aneurysm, False
Angiography
Aorta, Abdominal
Aortic Aneurysm, Abdominal
Aortic Rupture
Blood Vessel Prosthesis Implantation
Fatal Outcome
Femoral Artery
Humans
Male
Postoperative Complications
Reoperation
Stents
Tomography, X-Ray Computed
description Purpose: To report the use of an aortic endograft to treat a ruptured false aneurysm at the anastomosis of an aortofemoral bypass graft. Methods and Results: A 68-year-old man with a 30-year-old aorto-right femoral bypass and multiple comorbidities was admitted to the hospital complaining of acute abdominal pain. Imaging identified a 60-mm ruptured aortic false aneurysm with associated retroperitoneal hematoma, a 9-cm right femoral false aneurysm, and a calcified 23-mm left common iliac aneurysm. Two slightly overlapping Vanguard straight stent-grafts were implanted in the aorta and left common iliac artery in an emergency procedure owing to the patient's high surgical risk. The anastomotic false aneurysm and the bypass were excluded. A left-to-right femorofemoral bypass was performed to re-establish flow to the right femoral artery with ligation of the external iliac artery. The patient recovered uneventfully. He remained well with a successful repair until his death of a myocardial infarction 6 months after the procedure. Conclusions: Endovascular grafting can be used successfully for the urgent treatment of aortic false aneurysm rupture.
title Acute rupture of an aortic false aneurysm treated with a stent-graft
title_short Acute rupture of an aortic false aneurysm treated with a stent-graft
title_full Acute rupture of an aortic false aneurysm treated with a stent-graft
title_fullStr Acute rupture of an aortic false aneurysm treated with a stent-graft
title_full_unstemmed Acute rupture of an aortic false aneurysm treated with a stent-graft
title_sort acute rupture of an aortic false aneurysm treated with a stent-graft
publishDate 1999
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10746218_v6_n3_p293_Schonholz
http://hdl.handle.net/20.500.12110/paper_10746218_v6_n3_p293_Schonholz
_version_ 1768546455283302400