Ital Heart J 2001 2 (5) 401 402- TRIPLE ANEURYSM TREATMENT IN ONE SESSION
2
401 Infrarenal aortic aneurysms are a com- mon finding. They may be associated with an aneurysm of the thoracic aorta. It is very difficult to treat all the aneurysms in the same session. Nevertheless, by means of endovascular treatment, it is actually possi- ble to exclude more than one aneurysm dur- ing a single session. We report the case of a 76-year-old fe- male, referred to our department because of an aneurysm of the descending thoracic aor- ta (65 mm), one of the infrarenal abdominal aorta (45 mm) and because of bilateral aneurysms of the common iliac artery (40 mm on the right and 35 mm on the left) (Fig. 1). In view of the patient’s age and condi- tions, we decided to exclude all the aneurysms in the same operative session performed under general anesthesia and us- ing an endovascular prosthesis. The descending thoracic aorta aneurysm was excluded with a Talent endovascular prosthesis. For the aortic and the iliac ones we used an AneuRx prosthesis (Fig. 2). The patient was discharged 4 days after surgery. To date, she still enjoys good health. Fifteen days following surgery we did not find any endoleaks. © 2001 CEPI Srl Received January 22, 2001; accepted January 25, 2001. Address: Dr. Salvatore Ronsivalle Unità Operativa di Chirurgia Vascolare ALSS 15 Via Riva degli Ospedali 35013 Cittadella (PD) E-mail: [email protected] Images in cardiovascular medicine Descending thoracic aorta, infrarenal abdominal aorta and bilateral common iliac artery aneurysm: endovascular repair in only one session Salvatore Ronsivalle, Mario Zanchetta*, Luigi Pedon*, Gastone Vedolin**, Rosario Lipari, Francesca Faresin, Francesco Pettenuzzo, Pietro Maiolino* Vascular Surgery Unit, *Cardiology Unit, **Anesthesiology Unit, Hospital of Cittadella, Cittadella (PD) (Ital Heart J 2001; 2 (5): 401-402) Figure 1. Preoperative angiographic findings: aneurysm of the descending thoracic aorta, abdominal aortic aneurysm and bilateral aneurysms of the common iliac artery.
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Transcript of Ital Heart J 2001 2 (5) 401 402- TRIPLE ANEURYSM TREATMENT IN ONE SESSION
401
Infrarenal aortic aneurysms are a com-mon finding. They may be associated withan aneurysm of the thoracic aorta. It is verydifficult to treat all the aneurysms in thesame session. Nevertheless, by means ofendovascular treatment, it is actually possi-ble to exclude more than one aneurysm dur-ing a single session.
We report the case of a 76-year-old fe-male, referred to our department because ofan aneurysm of the descending thoracic aor-ta (65 mm), one of the infrarenal abdominalaorta (45 mm) and because of bilateralaneurysms of the common iliac artery (40mm on the right and 35 mm on the left)(Fig. 1).
In view of the patient’s age and condi-tions, we decided to exclude all theaneurysms in the same operative sessionperformed under general anesthesia and us-ing an endovascular prosthesis.
The descending thoracic aorta aneurysmwas excluded with a Talent endovascularprosthesis. For the aortic and the iliac oneswe used an AneuRx prosthesis (Fig. 2).
The patient was discharged 4 days aftersurgery. To date, she still enjoys good health.Fifteen days following surgery we did notfind any endoleaks.
© 2001 CEPI Srl
Received January 22,2001; accepted January 25, 2001.
Address:
Dr. Salvatore Ronsivalle
Unità Operativa di Chirurgia VascolareALSS 15Via Riva degli Ospedali35013 Cittadella (PD)E-mail:[email protected]
Images in cardiovascular medicineDescending thoracic aorta, infrarenal abdominal aorta and bilateral common iliacartery aneurysm: endovascular repairin only one session
Salvatore Ronsivalle, Mario Zanchetta*, Luigi Pedon*, Gastone Vedolin**, Rosario Lipari,Francesca Faresin, Francesco Pettenuzzo, Pietro Maiolino*
Vascular Surgery Unit, *Cardiology Unit, **Anesthesiology Unit, Hospital of Cittadella, Cittadella (PD)
(Ital Heart J 2001; 2 (5): 401-402)
Figure 1. Preoperative angiographic findings: aneurysmof the descending thoracic aorta, abdominal aorticaneurysm and bilateral aneurysms of the common iliacartery.
Ital Heart J Vol 2 May 2001
402
Figure 2. Postoperative spiral computed tomography: aneurysm of the descending thoracic aorta, abdominal aortic aneurysm and bilateralaneurysms of the common iliac artery (upper left panel). Postoperative thorax radiographic findings: Talent endovascular prosthesis (upper right pan-el). Postoperative abdominal radiographic findings: bifurcated endoprosthesis AneuRx type (lower panel).
