Alternative approach to endoluminal treatmet of an anastomotic aneurysm

T. Matsumoto, K. Komori, T. Furuyama, T. Shoji, M. Kume, T. Yamaoka, E. Mori, K. Sugimachi

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Conventional surgical treatment of patients with an anastomotic aneurysm can be a surgical challenge if severe adhesions are present. We report here effective treatment of an anastomotic aneurysm using an endoluminal stent graft. A 71-year-old man had undergone an aorto-bifemoral bypass for Leriche's syndrome in 1989 and partial gastrectomy for cancer in 1996. He was admitted to our department with a pseudoaneurysm of a proximal anastomosis located at the aorta below both renal arteries. Based on his medico-surgical history, we considered that an endovascular stent should be placed. This graft composed of an UBE(UBE-WOVEN GRAFT) graft and self-expandable Z stents were introduced through the right limb of the bifurcated graft previously implanted, then were placed using the delivery system while advancing under fluoroscopic control, using a pusher rod. Endoleakage was not evident and the post-operative course was uneventful. An endovascular graft is one alternative approach for treating patients with an anastomotic aneurysm as it is less invasive. This procedure proved satisfactory for this patient.

Original languageEnglish
Pages (from-to)403-406
Number of pages4
JournalJournal of Cardiovascular Surgery
Volume43
Issue number3
Publication statusPublished - 2002

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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