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

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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

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