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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Periodicità: Bimestrale

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2002 Giugno;43(3):403-6

VASCULAR SECTION 

 CASE REPORTS

Alternative approach to endoluminal treatment of an anastomotic aneurysm

Matsumoto T., Komori K., Furuyama T., Shoji T., Kume M., Yamaoka T., Mori E., Sugimachi K.

From the Depart­ment of Sur­gery and Sci­ence, Grad­uate ­School of Med­ical Sci­ences, Kyushu Uni­ver­sity, ­Fukuoka, ­Japan

Con­ven­tional sur­gical treat­ment of ­patients ­with an anas­to­motic aneu­rysm can be a sur­gical chal­lenge if ­severe adhe­sions are ­present. We ­report ­here effec­tive treat­ment of an anas­to­motic aneu­rysm ­using an endo­lu­minal ­stent ­graft. A 71-­year-old man had under­gone an ­aorto-bife­moral ­bypass for ­Leriche’s syn­drome in 1989 and par­tial gas­trec­tomy for ­cancer in 1996. He was ­admitted to our depart­ment ­with a pseu­do­aneu­rysm of a prox­imal anas­tom­osis ­located at the ­aorta ­below ­both ­renal ­arteries. ­Based on his ­medico-sur­gical his­tory, we con­sid­ered ­that an endo­vas­cular ­stent ­should be ­placed. ­This ­graft com­posed of an UBE(UBE-­WOVEN ­GRAFT) ­graft and ­self-expand­able Z ­stents ­were intro­duced ­through the ­right ­limb of the bifur­cated ­graft pre­vi­ously ­implanted, ­then ­were ­placed ­using the ­delivery ­system ­while ­advancing ­under flu­o­ro­scopic con­trol, ­using a ­pusher rod. Endo­leakage was not evi­dent and the post­op­er­a­tive ­course was ­uneventful. An endo­vas­cular ­graft is one alter­na­tive ­approach for ­treating ­patients ­with an anas­to­motic aneu­rysm as it is ­less inva­sive. ­This pro­ce­dure ­proved sat­is­fac­tory for ­this ­patient.

lingua: Inglese


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