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Chirurgia 2007 June;20(3):131-2

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Lumbar and middle sacral artery reconstruction in abdominal aortic aneurysm repair

Takagi H., Matsuno Y., Kato T., Sugimoto M., Umemoto T.

Department of Cardiovascular Surgery Shizuoka Medical Center, Shizuoka, Japan


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In repair of an infrarenal abdominal aortic aneurysm, all the patent lumbar arteries and middle sacral artery are usually sutured and closed without reconstruction. We herein describe reconstruction of the lumbar arteries and middle sacral artery to prevent colon ischemia in a case of abdominal aortic aneurysm where the terminal aorta, inferior mesenteric artery, and bilateral common and external iliac arteries had been occluded, and the reconstructed lumbar arteries and middle sacral artery supplied collaterals to the bilateral internal iliac arteries. To our best knowledge, there has been no report of such reconstruction.

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