Objectives: We report three cases of isolated infrarenal aortic dissecting aneurysms managed with stent-graft. Materials and Methods: Three patients, two men and one woman, with a mean age at diagnosis of 69 years were identified. In all cases, chest CT-A did not reveal evidence of thoracic aortic dissection. The mean maximal aneurysm diameter was 6.7 +/- 1.5 cm (range: 5.5-8 cm). All patients underwent stent-graft repair. Follow-up computed tomographic (CT)-angiography examinations were scheduled 1, 4, and 12 months after the procedure. Results: Stent-graft deployment was technically successful in all cases. Intraoperative mortality was not observed. All patients were adequately treated with a bifurcated device. Intensive care unit (ICU) stay was never required. Mean hospitalization was 4.6 days (range: 4-6 days). Mean follow-up was 18 months. No stent-graft-related complications were observed. Conclusions: Endovascular repair for isolated infrarenal abdominal aortic dissecting aneurysms is feasible and effective.
Stent-graft treatment for isolated infrarenal aortic dissecting aneurysms / R. Caronno, G. Piffaretti, M. Tozzi, C. Lomazzi, N. Rivolta, D. Laganà, G. Carrafiello, S. Cuffari, P. Castelli. - In: WORLD JOURNAL OF SURGERY. - ISSN 0364-2313. - 30:7(2006), pp. 1360-1364. [10.1007/s00268-005-0704-7]
Stent-graft treatment for isolated infrarenal aortic dissecting aneurysms
G. Carrafiello;
2006
Abstract
Objectives: We report three cases of isolated infrarenal aortic dissecting aneurysms managed with stent-graft. Materials and Methods: Three patients, two men and one woman, with a mean age at diagnosis of 69 years were identified. In all cases, chest CT-A did not reveal evidence of thoracic aortic dissection. The mean maximal aneurysm diameter was 6.7 +/- 1.5 cm (range: 5.5-8 cm). All patients underwent stent-graft repair. Follow-up computed tomographic (CT)-angiography examinations were scheduled 1, 4, and 12 months after the procedure. Results: Stent-graft deployment was technically successful in all cases. Intraoperative mortality was not observed. All patients were adequately treated with a bifurcated device. Intensive care unit (ICU) stay was never required. Mean hospitalization was 4.6 days (range: 4-6 days). Mean follow-up was 18 months. No stent-graft-related complications were observed. Conclusions: Endovascular repair for isolated infrarenal abdominal aortic dissecting aneurysms is feasible and effective.File | Dimensione | Formato | |
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