Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion.
Abdominal aortic aneurysm
Chimney graft
Endovascular aneurysm repair (EVAR)
Inferior mesenteric artery
Journal
Journal of vascular surgery cases and innovative techniques
ISSN: 2468-4287
Titre abrégé: J Vasc Surg Cases Innov Tech
Pays: United States
ID NLM: 101701125
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
16
08
2021
accepted:
14
10
2021
entrez:
17
1
2022
pubmed:
18
1
2022
medline:
18
1
2022
Statut:
epublish
Résumé
A 63-year-old man presented for the treatment of abdominal aortic aneurysm in the setting of bilateral internal iliac artery compromise from prior peripheral arterial disease treatments. The inferior mesenteric artery (IMA) measured 5 mm. Patient underwent coronary artery stenting 6 months prior and experienced left leg claudication. He underwent endovascular aneurysm repair with chimney IMA grafting and a femorofemoral bypass with uneventful recovery. At 1 year, computed tomography angiogram shows no flow in the aneurysm sac, and his left leg claudication resolved. Endovascular aneurysm repair with chimney IMA grafting for colonic perfusion preservation is a reasonable alternative to open surgical repair with IMA reimplantation in high-risk patients.
Identifiants
pubmed: 35036669
doi: 10.1016/j.jvscit.2021.10.012
pii: S2468-4287(21)00186-6
pmc: PMC8743168
doi:
Types de publication
Case Reports
Langues
eng
Pagination
28-31Informations de copyright
© 2021 The Authors.
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