Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/jvb.2014.058
Jornal Vascular Brasileiro
Therapeutic Challenge

Two-stage hybrid open-endovascular repair of a Crawford type IV aortic aneurysm: therapeutic challenge

Tratamento híbrido (debranching) de aneurisma tóraco-abdominal tipo IV de Crawford: desafio terapêutico

Abdo Farret Neto; Liana Berucia Freire de Oliveira; Guilherme Tarso de Andrade Alves; George Anderson da Penha Andrade; Eduardo Dantas Baptista de Faria

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Abstract

We present a case of a patient with Crawford type IV aortic thoracoabdominal aneurysm. The patient underwent hybrid repair in two stages. Initially a Dacron(r) graft was implanted surgically with revascularization of all visceral branches from the left external iliac artery (debranching). On a later date, the second stage of treatment was with an endovascular technique with bi aorto-iliac endoprosthesis. After 2 years the patient remains asymptomatic and in full working activity.

Keywords

aortic aneurysm, surgery, aorta, aneurysm

Resumo

Apresentamos o caso de um paciente com aneurisma aórtico tóraco-abdominal tipo IV de Crawford submetido à correção híbrida em dois estágios. Inicialmente submetido a implante cirúrgico de prótese de Dacron® com revascularização de todos os ramos viscerais a partir da ilíaca externa esquerda (debranching) e, posteriormente, tratado pela técnica endovascular com endoprótese aorto bi-ilíaca. Após dois anos, o paciente permanece assintomático e em plena atividade laborativa.

Palavras-chave

aneurisma aórtico, cirurgia, aorta, aneurisma

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