Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492007000100011
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular de aneurisma de ilíaca roto: relato de caso

Endovascular treatment of a ruptured iliac aneurysm: case report

Adinaldo Adhemar Menezes da Silva; Luis Fernando Reis; Daniel Gustavo Miquelin; Priscilla Yukiko Sano; Vlanna Sales Pereira; José Maria Pereirade Godoy

http://dx.doi.org/10.1590/S1677-54492007000100011 J Vasc Bras, vol.6, n1, p.78-81, 2007
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Resumo

A taxa de mortalidade cirúrgica do aneurisma de ilíaca roto é similar à do aneurisma de aorta abdominal roto, devido à sua localização profunda na pelve, dificuldade de exposição distal da ilíaca decorrente do hematoma, bridas devido a laparotomia prévia e proximidade com ureter e estruturas venosas. O objetivo do presente estudo é enfatizar o procedimento endovascular como mais uma opção na correção dessas lesões. Relata-se o caso de um paciente de 60 anos de idade, submetido a derivação com enxerto aorto-biilíaco prévio com prótese há 5 anos, por aneurisma de aorta abdominal infra-renal, apresentando rotura de aneurisma em segmento remanescente da ilíaca comum esquerda. Estava hemodinamicamente estável após ressuscitação com fluidos e foi submetido ao tratamento endovascular de urgência, com a exclusão do aneurisma e ausência de vazamentos.

Palavras-chave

Aneurisma de ilíaca roto, tratamento endovascular de aneurisma, endoprótese

Abstract

The surgical mortality rate of ruptured iliac aneurysms is similar to ruptured abdominal aortic aneurysms in terms of their location deep in the pelvis, difficult access to the distal iliac artery due to hematoma, adherences due to prior laparotomy and proximity of the ureter and venous structures. This study aims at highlighting the endovascular procedure as an alternative in the correction of this lesion. We report the case of a patient submitted to aortobiiliac prosthetic graft due to infrarenal abdominal aortic aneurysm 5 years ago, who presented with a ruptured aneurysm in the remaining segment of the left common iliac artery. The patient was hemodynamically stable after fluid replacement therapy and was submitted to urgent endovascular treatment. The treatment resulted in the exclusion of the aneurysm without endoleaks.

Keywords

Ruptured iliac aneurysm, endovascular treatment of aneurysms, endograft

References

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