INTRODUCTION: Endovascular aortic repair, if technically feasible, is the treatment of choice for patients with a contained ruptured aortic aneurysm who are unfit for open surgery. CASE PRESENTATION: We report the case of an 80-year-old Caucasian man who presented with an unusually configured, symptomatic infrarenal aortic aneurysm. His aneurysm showed an erosion of the fourth lumbar vertebra and a severely arteriosclerotic pelvic axis. A high thigh amputation of his right leg had been performed 15 months previously. On his right side, occlusion of his external iliac artery, common femoral artery, and deep femoral artery had occurred. His aneurysm was treated by a left-sided aortomonoiliac stent graft without femorofemoral revascularization, resulting in occlusions of both internal iliac arteries. No ischemic symptoms appeared, although perfusion of his right side was maintained only over epigastric collaterals. CONCLUSIONS: The placement of aortomonoiliac stent grafts for endovascular treatment of infrarenal aortic aneurysms without contralateral revascularization is a feasible treatment option in isolated cases. In this report, access problems and revascularization options in endovascular aneurysm repair are discussed.
INTRODUCTION: Endovascular aortic repair, if technically feasible, is the treatment of choice for patients with a contained ruptured aortic aneurysm who are unfit for open surgery. CASE PRESENTATION: We report the case of an 80-year-old Caucasian man who presented with an unusually configured, symptomatic infrarenal aortic aneurysm. His aneurysm showed an erosion of the fourth lumbar vertebra and a severely arteriosclerotic pelvic axis. A high thigh amputation of his right leg had been performed 15 months previously. On his right side, occlusion of his external iliac artery, common femoral artery, and deep femoral artery had occurred. His aneurysm was treated by a left-sided aortomonoiliac stent graft without femorofemoral revascularization, resulting in occlusions of both internal iliac arteries. No ischemic symptoms appeared, although perfusion of his right side was maintained only over epigastric collaterals. CONCLUSIONS: The placement of aortomonoiliac stent grafts for endovascular treatment of infrarenal aortic aneurysms without contralateral revascularization is a feasible treatment option in isolated cases. In this report, access problems and revascularization options in endovascular aneurysm repair are discussed.
Authors: Frank J Veith; Mario Lachat; Dieter Mayer; Martin Malina; Jan Holst; Manish Mehta; Eric L G Verhoeven; Thomas Larzon; Stefano Gennai; Gioacchino Coppi; Evan C Lipsitz; Nicholas J Gargiulo; J Adam van der Vliet; Jan Blankensteijn; Jacob Buth; W Anthony Lee; Giorgio Biasi; Gaetano Deleo; Karthikeshwar Kasirajan; Randy Moore; Chee V Soong; Neal S Cayne; Mark A Farber; Dieter Raithel; Roy K Greenberg; Marc R H M van Sambeek; Jan S Brunkwall; Caron B Rockman; Robert J Hinchliffe Journal: Ann Surg Date: 2009-11 Impact factor: 12.969
Authors: Roger M Greenhalgh; Louise C Brown; Janet T Powell; Simon G Thompson; David Epstein; Mark J Sculpher Journal: N Engl J Med Date: 2010-04-11 Impact factor: 91.245
Authors: Evan C Lipsitz; Takao Ohki; Frank J Veith; Soo J Rhee; Nicholas J Gargiulo; William D Suggs; Reese A Wain Journal: J Endovasc Ther Date: 2003-12 Impact factor: 3.487