Spleno-renal Bypass Facilitating Endovascular Stenting of a Juxta-renal Aortic Aneurysm in a High Risk Patient

The management of juxta-renal abdominal aortic aneurysms (AAA) is challenging. Open surgical repair is associated with significant morbidity (predominantly renal) and the absence of an adequate length of normal infra-renal aorta precludes the placement of a standard endograft. In high-risk patients...

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Published inEuropean journal of vascular and endovascular surgery Vol. 35; no. 4; pp. 452 - 454
Main Authors Chaudhry, T, Hobbs, S.D, Pinkney, T, Orme, R, Fox, A.D
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.04.2008
Subjects
Abdominal aortic aneurysm
Aged
Angioplasty - methods
Aortic Aneurysm, Abdominal - diagnosis
Aortic Aneurysm, Abdominal - surgery
Aortic debranching
Blood Vessel Prosthesis Implantation - methods
EVAR
Humans
Male
Renal Artery
Splenic Artery
Splenorenal bypass
Stents
Surgery
EVAR
Aortic debranching
Abdominal aortic aneurysm
Splenorenal bypass
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Summary:The management of juxta-renal abdominal aortic aneurysms (AAA) is challenging. Open surgical repair is associated with significant morbidity (predominantly renal) and the absence of an adequate length of normal infra-renal aorta precludes the placement of a standard endograft. In high-risk patients who are unsuitable for standard open repair the endovascular options include fenestrated or branched stent grafts, which are complex, expensive and not widely available, especially in the acute setting. In this report, we describe a case of a hybrid endovascular graft utilising a spleno-renal bypass to facilitate the supra-renal fixation of an aorto-bi-iliac endovascular stent graft in a high-risk patient.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1078-5884
1532-2165
DOI:10.1016/j.ejvs.2007.09.016