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

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

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


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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.

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