Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492013000200016
Jornal Vascular Brasileiro
Case report

Endovascular repair of abdominal aortic para-anastomotic pseudoaneurysm

Correcao endovascular do pseudoaneurisma para-anastomotico de aorta abdominal

Leonardo Ghizoni Bez; Francesco Evangelista Botelho; Julio Cesar Arantes Maciel; Danilo Martins Cardinelli

http://dx.doi.org/10.1590/S1677-54492013000200016 J Vasc Bras, vol.12, n2, p.180-183, 2013
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Abstract

Para-anastomotic aneurysms are either true aneurysms or pseudoaneurysms. The latter tend to be asymptomatic until rupture. Para-anastomotic aneurysms should be approached surgically, despite the high morbidity and mortality associated with their treatment. This report describes the case of a 68-year-old woman who presented with a para-anastomotic pseudoaneurysm secondary to infrarenal aortic aneurysmectomy. We chose to use an endovascular approach, and results were good. Endovascular techniques are increasingly becoming the method of choice in the treatment of anastomotic pseudoaneurysms.

Keywords

pseudoaneurysm, aorta, postoperative complications, aortic aneurysm, endovascular procedures

Resumo

Os aneurismas para-anastomóticos de aorta podem ser verdadeiros ou pseudoaneurismas. Estes últimos tendem a ser assintomáticos até a ruptura. Devem ser tratados cirurgicamente, apesar da alta morbimortalidade em sua abordagem. Este relato descreve o caso de uma paciente do sexo feminino, 68 anos, com quadro de pseudoaneurisma para-anastomótico pós-aneurismectomia de aorta infrarrenal. Optou-se por correção endovascular, com bons resultados. As técnicas endovasculares vêm se estabelecendo como o método de escolha no tratamento dos pseudoaneurismas anastomóticos.

Palavras-chave

pseudoaneurisma, aorta, complicacoes pos-operatorias, aneurisma aortico, procedimentos endovasculares

References

Hallett JW Jr, Marshall DM, Petterson TM. Graft-related complications after abdominal aortic aneurysm repair: reassurance from a 36-year population-based experience. J Vasc Surg.. ;25:277-84.

Biancari F, Ylýnen K, Anttila V. Durability of open repair of infrarenal abdominal aortic aneurysm: a 15-year follow-up study. J Vasc Surg.. ;35:87-93.

Szilagyi DE, Hageman JH, Smith RF, Elliott JP. Spinal cord damage in surgery of the abdominal aorta. Surgery.. ;83:38-56.

Edwards JM, Teefey SA, Zierler RE, Kohler TR. Intraabdominalparaanastomotic aneurysms after aortic bypass grafting. J Vasc Surg.. ;15:344-50.

Hertzer NR, Mascha EJ, Karafa MT. Open infrarenal abdominal aortic aneurysm repair: the Cleveland Clinic experience from 1989 to 1998. J Vasc Surg.. ;35:1145-154.

Pearce BJ, Baldwin Z, Bassiouny H, Gewertz BL, McKinsey JF. Endovascular solutions to complications of open aortic repair. Vasc Endovascular Surg.. ;39(3):221-28.

Sachdev U, Baril DT, Morrissey NJ. Endovascular repair of para-anastomotic aortic aneurysms. J Vasc Surg.. ;46(4):636-41.

Mitchell JH, Dougherty KG, Strickman NE, Mortazavi A, Krajcer Z. Endovascular repair of paraanastomotic aneurysms after aortic reconstruction. Tex Heart Inst J.. ;34(2):148-53.

Ten Bosch JA, Waasdorp EJ, De Vries JP, Moll FL, Teijink JA, Van Herwaarden JA. The durability of endovascular repair of para-anastomotic aneurysms after previous open aortic reconstruction. J Vasc Surg.. ;54(6):1571-578.

Piffaretti G, Tozzi M, Lomazzi C, Rivolta N, Caronno R, Castelli P. Endovascular treatment for para-anastomotic abdominal aortic and iliac aneurysms following aortic surgery. J Cardiovasc Surg. ;48(6):711-17.

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