Hypogastric Artery Salvage Using an Unibody Bifurcated Aorto-Iliac Graft Associated to Double-Barrel Technique in Spontaneous Isolated Abdominal Aortic Dissection.
Aortic Dissection
/ diagnostic imaging
Aortic Aneurysm, Abdominal
/ diagnostic imaging
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
/ instrumentation
Endovascular Procedures
/ instrumentation
Humans
Iliac Artery
/ diagnostic imaging
Male
Middle Aged
Prosthesis Design
Regional Blood Flow
Stents
Treatment Outcome
Vascular Patency
Journal
Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
17
07
2020
revised:
08
10
2020
accepted:
24
10
2020
pubmed:
18
12
2020
medline:
13
7
2021
entrez:
17
12
2020
Statut:
ppublish
Résumé
A 54-year-old male patient was admitted with acute left lower limb ischemia (ALI). Computed tomography (CT) angiogram showed an isolated abdominal aortic dissection (IAAD) with a single entry tear just proximal to the aortic bifurcation and an intramural hematoma (IMH) extending to the descending thoracic aorta. The IAAD involved the left iliac bifurcation, with a flow limiting dissection flap into the internal iliac artery (IIA) and external iliac artery (EIA) thrombosis with femoro-popliteal embolization. A surgical thrombectomy of the femoral arteries was performed. An unibody bifurcated endograft was deployed into the true lumen to cover the entry tear, and a double-barrel technique was employed to restore the flow into the EIA and to preserve the IIA patency. The postoperative period was complicated by a compartment syndrome of the calf, requiring a fasciotomy. Follow-up imaging after 12 months showed complete resolution of the IAAD and patency of the stented vessels.
Identifiants
pubmed: 33333183
pii: S0890-5096(20)31028-1
doi: 10.1016/j.avsg.2020.10.040
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
667.e11-667.e16Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.