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International Angiology 2009 June;28(3):238-40

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Transcarotideal access for endovascular repair of descending thoracic aortic aneurysm with intentional coverage of celiac artery

Faccenna F. 1, Gattuso R. 1, Alunno A. 1, Felli M. M. G. 1, Castiglione A. 1, Irace L. 1, Antignani P. L. 2, Gossetti B. 1

1 Department of Vascular Surgery, Policlinico Umberto I, University of Rome “La Sapienza”, Rome, Italy 2 Department of Angiology, Ospedale San Giovanni Addolorata, Rome, Italy


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Endovascular treatment of thoracic and thoraco-abdominal aortic aneurysm with celiac artery ostium coverage, seems to be safe according to the literature. We present a case in which the endograft deployement was achieved through a right common carotid artery access because four years before the patient was submitted to an axillo-bifemoral bypass with aortic graft removal and aortic stump ligature for infection. After endovascular repair the patient suffered from spinal cord ischemia, acute pancreatitis and spleen infarction. Probably, the new pancreatic event has been triggered by temporary visceral ischemia, acting on a pancreas damaged by a previous acute hemorrhagic pancreatitis.

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