Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion

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...

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Autores principales: Kostiuk, Valentyna, Mena, Carlos, Sumpio, Bauer, Guzman, Raul J., Ochoa Chaar, Cassius Iyad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743168/
https://www.ncbi.nlm.nih.gov/pubmed/35036669
http://dx.doi.org/10.1016/j.jvscit.2021.10.012
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author Kostiuk, Valentyna
Mena, Carlos
Sumpio, Bauer
Guzman, Raul J.
Ochoa Chaar, Cassius Iyad
author_facet Kostiuk, Valentyna
Mena, Carlos
Sumpio, Bauer
Guzman, Raul J.
Ochoa Chaar, Cassius Iyad
author_sort Kostiuk, Valentyna
collection PubMed
description 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.
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spelling pubmed-87431682022-01-13 Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion Kostiuk, Valentyna Mena, Carlos Sumpio, Bauer Guzman, Raul J. Ochoa Chaar, Cassius Iyad J Vasc Surg Cases Innov Tech Case report 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. Elsevier 2021-11-05 /pmc/articles/PMC8743168/ /pubmed/35036669 http://dx.doi.org/10.1016/j.jvscit.2021.10.012 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Kostiuk, Valentyna
Mena, Carlos
Sumpio, Bauer
Guzman, Raul J.
Ochoa Chaar, Cassius Iyad
Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion
title Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion
title_full Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion
title_fullStr Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion
title_full_unstemmed Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion
title_short Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion
title_sort endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743168/
https://www.ncbi.nlm.nih.gov/pubmed/35036669
http://dx.doi.org/10.1016/j.jvscit.2021.10.012
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