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Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report

An abdominal aortic aneurysm is a frequently encountered clinical condition, which necessitates prompt and effective remediation to avoid rupture. Surgeons must meticulously select an appropriate method of repair and assess the long-term surgical prognosis when dealing with patients with complex abd...

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Autores principales: Zhou, Guanzhi, Ma, Huibo, Liu, Junjun, Sun, Xiaozhi, Liu, Yangshuo, Luan, Jianli, Li, Yongxin, Guo, Mingjin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595028/
https://www.ncbi.nlm.nih.gov/pubmed/37881725
http://dx.doi.org/10.3389/fcvm.2023.1276064
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author Zhou, Guanzhi
Ma, Huibo
Liu, Junjun
Sun, Xiaozhi
Liu, Yangshuo
Luan, Jianli
Li, Yongxin
Guo, Mingjin
author_facet Zhou, Guanzhi
Ma, Huibo
Liu, Junjun
Sun, Xiaozhi
Liu, Yangshuo
Luan, Jianli
Li, Yongxin
Guo, Mingjin
author_sort Zhou, Guanzhi
collection PubMed
description An abdominal aortic aneurysm is a frequently encountered clinical condition, which necessitates prompt and effective remediation to avoid rupture. Surgeons must meticulously select an appropriate method of repair and assess the long-term surgical prognosis when dealing with patients with complex abdominal aortic aneurysms. In this case report, a 74-year-old man was hospitalized due to acute abdominal pain. Upon further examination, it was discovered that he was suffering from a complex abdominal aortic aneurysm. The thoracoabdominal aorta CTA showed that the aneurysm involved both renal arteries, the part below the kidney was severely twisted, the neck of the aneurysm was short, and it was accompanied by bilateral common iliac and internal iliac aneurysms, and there were considerable thrombus attached to the vessel wall. In this case, our team used 3D technology to simulate the spatial structure of the aneurysm and comprehensively evaluate the patient's condition. Ultimately, we decided to perform a quadruple fenestration aortic stent implantation and endovascular repair of aortic aneurysm, combined with right IBE and internal iliac artery stent implantation, right internal iliac artery reconstruction, and left internal iliac artery aneurysm embolization on this patient. This is an innovative surgical method. The operation was successful and the patient recovered well after the operation.
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spelling pubmed-105950282023-10-25 Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report Zhou, Guanzhi Ma, Huibo Liu, Junjun Sun, Xiaozhi Liu, Yangshuo Luan, Jianli Li, Yongxin Guo, Mingjin Front Cardiovasc Med Cardiovascular Medicine An abdominal aortic aneurysm is a frequently encountered clinical condition, which necessitates prompt and effective remediation to avoid rupture. Surgeons must meticulously select an appropriate method of repair and assess the long-term surgical prognosis when dealing with patients with complex abdominal aortic aneurysms. In this case report, a 74-year-old man was hospitalized due to acute abdominal pain. Upon further examination, it was discovered that he was suffering from a complex abdominal aortic aneurysm. The thoracoabdominal aorta CTA showed that the aneurysm involved both renal arteries, the part below the kidney was severely twisted, the neck of the aneurysm was short, and it was accompanied by bilateral common iliac and internal iliac aneurysms, and there were considerable thrombus attached to the vessel wall. In this case, our team used 3D technology to simulate the spatial structure of the aneurysm and comprehensively evaluate the patient's condition. Ultimately, we decided to perform a quadruple fenestration aortic stent implantation and endovascular repair of aortic aneurysm, combined with right IBE and internal iliac artery stent implantation, right internal iliac artery reconstruction, and left internal iliac artery aneurysm embolization on this patient. This is an innovative surgical method. The operation was successful and the patient recovered well after the operation. Frontiers Media S.A. 2023-10-10 /pmc/articles/PMC10595028/ /pubmed/37881725 http://dx.doi.org/10.3389/fcvm.2023.1276064 Text en © 2023 Zhou, Ma, Liu, Sun, Liu, Luan, Li and Guo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Zhou, Guanzhi
Ma, Huibo
Liu, Junjun
Sun, Xiaozhi
Liu, Yangshuo
Luan, Jianli
Li, Yongxin
Guo, Mingjin
Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report
title Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report
title_full Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report
title_fullStr Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report
title_full_unstemmed Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report
title_short Quadruple fenestration aortic stent implantation combined with unilateral IBE and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report
title_sort quadruple fenestration aortic stent implantation combined with unilateral ibe and internal iliac artery stent implantation for complex abdominal aortic aneurysm: one case report
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10595028/
https://www.ncbi.nlm.nih.gov/pubmed/37881725
http://dx.doi.org/10.3389/fcvm.2023.1276064
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