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The Journal of Cardiovascular Surgery 2000 December;41(6):915-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Endovascular repair of abdominal aortic aneurysm in a renal transplant patient

Abad C., Maynar M. *, De Blas M. *, Ponce G., Plaza C. **

From the Departments of Cardio-Vascular Surgery Vascular Radiology* and Nephrology** University Hospital de Gran Canaria Dr. Negrín Las Palmas de Gran Canaria, Spain


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A 65-­year-old man pre­sented ­with an asymp­to­matic infra­renal abdom­inal ­aortic aneu­rysm of 6 cm in trans­verse diam­eter. ­Five ­years ­before he ­received a cadav­eric ­renal trans­plant. The ­patient ­also had the fol­lowing ­risk fac­tors and asso­ciated dis­eases: arte­rial hyper­ten­sion, cor­o­nary ­artery dis­ease, pre­vious myo­car­dial infarc­tion, cor­o­nary angio­plasty and ­stent, ­ileal resec­tion sec­on­dary to ­Chron dis­ease, hep­a­top­athy, hyper­lip­i­demia and ­hepato-­renal ­cystic dis­ease. The ASA clas­sifi­ca­tion was III, IV. Con­sid­ering pre­vious abdom­inal oper­a­tions and ­risk fac­tors, we ­decided to ­repair the aneu­rysm ­with a min­imal aggres­sion. The aneu­rysm was suc­cess­fully ­approached by an endo­vas­cular ­route ­implanting a 22×10 bifur­cated ­aorto-­iliac endo­vas­cular pros­thesis. The ­patient ­died 13 ­months ­later ­after ­being diag­nosed of ente­roc­o­litis by cytom­e­gal­o­virus com­pli­cated with ­sepsis and ­lung infec­tion. We con­sider ­this ­less inva­sive ­modality of treat­ment a ­valid and ­useful alter­na­tive in ­this ­high-­risk ­group of ­patients.

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