Endovascular treatment of a noninfected anastomotic juxtarenal aortic aneurysm

Germane Melissano, Carlo Di Mario, Yamume Tshomba, Efrem Civilini, Giorgio Gimelli, Roberto Nicoletti, Alessandro Del Maschio, Antonio Colombo, Roberto Chiesa

Research output: Contribution to journalArticle

Abstract

An 82-year-old man underwent an endovascular procedure with a commercially available endovascular graft for an anastomotic juxtarenal abdominal aortic aneurysm. The anastomotic aneurysm, which showed no sign of infection, developed 4 years after implantation of an aortic end-to-end graft for an infrarenal aortic aneurysm. The aneurysm was diagnosed during routine ultrasonographic follow-up; there was no apparent infection of the graft. Aortography confirmed the diagnosis and also revealed a small pseudoaneurysm at the level of the distal aortic anastomosis. Endovascular surgery was performed in the operating room with the guidance of C-arm fluoroscopy and intravascular ultrasound. Two Vanguard™ Straight Endovascular Aortic Graft Cuffs (26 × 50 mm and 24 × 50 mm) were implanted, successfully excluding both the anastomotic juxtarenal aortic aneurysm and the distal pseudoaneurysm. The renal arteries were preserved and no early or late endoleaks were observed. The patient was discharged 2 days after the procedure. Sixteen months later, he was alive and well, with no endovascular leakage, no enlargement of the aortic aneurysms, and no sign of infection. In our opinion, this experience shows that commercially available endovascular grafts may be used successfully to treat anastomotic aortic aneurysms and pseudoaneurysms.

Original languageEnglish
Pages (from-to)408-411
Number of pages4
JournalTexas Heart Institute Journal
Volume27
Issue number4
Publication statusPublished - 2000

Keywords

  • Anastomosis, surgical/adverse effects
  • Aortic aneurysm, abdominal/surgery
  • Blood vessel prosthesis
  • Postoperative complications/surgery
  • Reoperation
  • Vascular surgical procedures/methods

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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