Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries.

Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries. Research Abstract Details 

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Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries. Abstract Text:

Chris Klonaris,Athanasios Katsargyris,Athanasios Giannopoulos,Sotiris Georgopoulos,Chris Tsigris,Othon Michail,George Marinos,Elias Bastounis,

The successful endovascular repair of a type III thoracoabdominal aortic aneurysm (TAAA) with the use of a tube endograft is reported. A 56-year-old male with a 6.4-cm type III TAAA, a 4.2-cm infrarenal abdominal aortic aneurysm, and chronic renal insufficiency presented with flank pain, nausea, acute anuria, and serum creatinine of 6.1 mg/dl. Acute occlusion of the left solitary renal artery was diagnosed and emergent recanalization with percutaneous transluminal angioplasty and stenting was performed successfully, with reversal of the serum creatinine level at 1.6 mg/dl. Further imaging studies for TAAA management revealed ostial occlusion of both the celiac artery (CA) and the superior mesenteric artery (SMA) but a hypertrophic inferior mesenteric artery (IMA) providing retrograde flow to the aforementioned vessels. This rare anatomic serendipity allowed us to repair the TAAA simply by using a two-component tube endograft without fenestrations (Zenith; William Cook, Bjaeverskov, Denmark) that covered the entire length of the aneurysm, including the CA and SMA origins, since a natural arterial bypass from the IMA to the CA and SMA already existed, affording protection from gastrointestinal ischemic complications. The patient had a fast and uneventful recovery and is currently doing well 6 months after the procedure. To our knowledge, this is the first report in the English literature of successful endovascular repair of a TAAA involving visceral arteries with the simple use of a tube endograft.

Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries. Publishing Authors By Initials

C Klonaris,A Katsargyris,A Giannopoulos,S Georgopoulos,C Tsigris,O Michail,G Marinos,E Bastounis,

For similar body regions: viscera research abstracts see: body regions: viscera research

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Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Cardiovascular and interventional radiology

VOLUME: 30

Page Numbers: 793-6

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ISSN: 0174-1551

DAY: 21

MONTH: 04

YEAR: 2007

Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries. Information

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LANGUAGE: eng

NlmUniqueID: 8003538

Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries. Keywords Mesh Terms:

KEYWORDS: Viscera

MESH TERMS: blood supply

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Grant and Affiliation Information for Endovascular repair of a type III thoracoabdominal aortic aneurysm in a patient with occlusion of visceral arteries.

AFFILIATION: First Department of Surgery, Vascular Division, LAIKON Hospital, Athens University Medical School, 17 Agiou Thoma str., Goudi, 11527, Athens, Greece. cklonaris@yahoo.com

Country: United States

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MEDLINETA: Cardiovasc Intervent Radiol

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