PMID: 9423710Jan 10, 1998Paper

Midaortic pseudoaneurysm complicating extensive endovascular stenting of aortic disease

Journal of Vascular Surgery
A F CutryR B Patterson

Abstract

We report a case of successful surgical management of a potentially life-threatening complication of aortoiliac stent placement. A 59-year-old man who had Leriche syndrome underwent bilateral iliac artery and infrarenal aortic stent placement at another institution. His history was significant for retroperitoneal lymph node dissection at 19 years of age for testicular cancer. One week after stent placement, the patient was readmitted with abdominal pain, poor oral intake, and diffuse intermittent tenderness. Evaluation with computed tomographic scanning and endoscopy was unremarkable, and the patient was discharged. He was admitted to our institution 1 week later with persistent abdominal pain. A computed tomographic scan of the abdomen revealed a large pseudoaneurysm of the abdominal aorta. The patient underwent urgent exploration, and exclusion of his infrarenal aorta was achieved with aortobifemoral bypass grafting. After the operation, the patient's course was complicated by a large paraduodenal hematoma, which resulted in a gastric outlet obstruction, which was managed without operation. This case illustrates a potential life-threatening complication of extensive stent placement for aortoiliac occlusive disease. Injury to ...Continue Reading

References

Sep 1, 1992·Cardiovascular and Interventional Radiology·D Vorwerk, R W Günther
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Citations

May 5, 2000·Cardiovascular and Interventional Radiology·U NymanK Ivancev
Aug 5, 2000·Mayo Clinic Proceedings·M H SeeligK J Cherry
Aug 9, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·D ScheinertG Biamino
Feb 21, 2019·Vascular and Endovascular Surgery·Belyavskaya TatianaCohnert Tina

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