Urgent interventional bilateral renal artery fenestration for giant pararenal abdominal aortic aneurysm with upper digestive tract obstruction

Journal of Vascular Surgery
Chenxi Ouyang, Huimin Liang

Abstract

During the past 20 years, open repair has been the chief intervention for pararenal abdominal aortic aneurysm (AAA). Endovascular repair has become an alternative for patients with ruptured AAA or other acute disease complications. The present study, however, attempted to use a common stent graft with the fenestration technique, rather than a customized one, in an emergency situation, to treat a giant pararenal AAA complicated by upper digestive tract obstruction, and assessed the results. A patient with a pararenal AAA was admitted emergently, with complications of upper digestive tract obstruction, including a tumor-like dilated segment of the abdominal aorta, 0.5-cm inferior to the ostia of the bilateral renal arteries, with a maximum diameter of 10.1 cm and a length of 18.5 cm. The patient underwent endovascular repair with a fenestrated endovascular stent graft to open the bilateral renal arteries 1 week later in an emergency situation. No stenosis occurred at the openings of bilateral renal artery as a result of the stent, and the AAA was completely occluded. The patient experienced greatly ameliorated abdominal pain and upper digestive tract obstruction. At the 1-year follow-up examination, no exceptional symptoms were o...Continue Reading

References

Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Sep 8, 1999·Journal of Vascular Surgery·W J Quiñones-BaldrichV S Kashyap
Feb 28, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·T A ChuterL M Messina
Jan 27, 2004·Journal of Vascular Surgery·Roy K GreenbergKenneth Ouriel
Apr 4, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S O'NeillE Katz
Jun 13, 2006·Journal of Vascular Surgery·Stephen Alan BlackMichael P Jenkins
Oct 24, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M GawendaJ Brunkwall

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Citations

Oct 10, 2014·Vascular·Ricardo A YoshidaMarcelo Hirga

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