Acute rupture of an aortic false aneurysm treated with a stent-graft
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 a...
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| Acceso en línea: | http://hdl.handle.net/20.500.12110/paper_10746218_v6_n3_p293_Schonholz |
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todo:paper_10746218_v6_n3_p293_Schonholz2023-10-03T16:02:58Z Acute rupture of an aortic false aneurysm treated with a stent-graft Schonholz, C. Donnini, F. Naselli, G. Pocovi, A. Parodi, J.C. 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. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar 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 Schonholz, C. Donnini, F. Naselli, G. Pocovi, A. Parodi, J.C. 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. |
| format |
JOUR |
| author |
Schonholz, C. Donnini, F. Naselli, G. Pocovi, A. Parodi, J.C. |
| author_facet |
Schonholz, C. Donnini, F. Naselli, G. Pocovi, A. Parodi, J.C. |
| author_sort |
Schonholz, C. |
| 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 |
| url |
http://hdl.handle.net/20.500.12110/paper_10746218_v6_n3_p293_Schonholz |
| work_keys_str_mv |
AT schonholzc acuteruptureofanaorticfalseaneurysmtreatedwithastentgraft AT donninif acuteruptureofanaorticfalseaneurysmtreatedwithastentgraft AT nasellig acuteruptureofanaorticfalseaneurysmtreatedwithastentgraft AT pocovia acuteruptureofanaorticfalseaneurysmtreatedwithastentgraft AT parodijc acuteruptureofanaorticfalseaneurysmtreatedwithastentgraft |
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1807317506801532928 |