Hepatorenal bypass allowing fenestrated endovascular repair of juxtarenal abdominal aortic aneurysm: a case report.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19945314.
- Also identified by DOI 10.1016/j.ejvs.2009.11.012.
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Abstract
A 61-year-old man presented with a 66-mm juxtarenal aortic aneurysm. He was unfit for open repair. The anatomical proximity of his right renal artery (RRA) and his superior mesenteric artery (SMA) precluded fabrication of an endograft allowing perfusion of both vessels. He underwent a hepato-renal bypass to his RRA and subsequent fenestrated endovascular aneurysm repair (EVAR) using an endoprosthesis with fenestrations for the SMA and the left renal artery (LRA), and a scallop for the coeliac trunk. Follow-up imaging showed all visceral vessels to be perfused. The use of this limited hybrid approach allows endovascular treatment of aneurysms that are initially unsuitable for such an approach.
Medical subject headings
- Aortic Aneurysm, Abdominal
- Blood Vessel Prosthesis
- Blood Vessel Prosthesis Implantation
- Hepatic Artery
- Renal Artery
- Stents