Treatment of suprarenal abdominal aortic stump rupture using a modified stent graft

Annals of Vascular Surgery
Feng HaiZhang Zhiwen

Abstract

Suprarenal abdominal aortic rupture cannot be repaired using a conventional covered stent without branches because it is necessary to reconstruct the visceral arteries. Traditional open aortic repair is associated with relatively high perioperative mortality and morbidity rates. We present a patient with a history of thoracoabdominal aortic pseudoaneurysm that had been treated with bypass grafting from the thoracic aorta to the left common iliac artery 5 months earlier. The patient presented with rupture of the suprarenal abdominal aortic stump. He was successfully treated by placement of a modified stent graft using a hybrid technique, which decreased the difficulty of operation and avoided serious postoperative complications. This hybrid method, which has not previously been reported, highlights the usefulness of vascular surgeons having experience in both open and endovascular techniques.

References

Aug 1, 1994·The Annals of Thoracic Surgery·U O von OppellP Zilla
Apr 1, 1996·The Annals of Thoracic Surgery·C KnosallaR Hetzer
Aug 2, 2003·Journal of Vascular Surgery·John A CowanGilbert R Upchurch
Oct 13, 2007·The British Journal of Surgery·J R H ScurrR G McWilliams
Mar 5, 2010·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Ian M NordonMatt M Thompson
Aug 31, 2010·Journal of Vascular Surgery·Girma Tefera

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