Endovascular repair of a dissecting pararenal abdominal aortic aneurysm in a patient with type III Loeys-Dietz syndrome

Abstract

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Iliac branch endoprosthesis for repair of a common iliac artery aneurysm in Loeys-Dietz syndrome type 3

“…Although open repair has been considered the mainstay of aneurysm repair for patients with connective tissue disorders, reports of repair with endovascular technology for certain high-risk patients have been increasing. 4 , 10 , 11 , 12 , 13 , 14 , 15 , 16 However, most of these reports have described thoracic endovascular aortic repair or treatment with embolization. Casey et al 12 described successful repair of bilateral iliac artery aneurysms in a patient with LDS using the “double-barrel” technique and parallel stent grafts.…”

“…Although open repair has been heralded as the optimal treatment modality for aortoiliac aneurysms for patients with LDS, an increasing body of literature has described durable endovascular repairs in certain high-risk anatomic variants. 4 The availability of the iliac branch endoprosthesis (IBE) has provided a safe and effective option for endovascular repair of iliac artery aneurysms with preservation of the internal iliac artery (IIA). 5 , 6 However, widespread use of this branched endovascular technology has been limited by certain anatomic factors such as an inadequate proximal common iliac artery (CIA) landing zone.…”

Multidisciplinary hybrid approach to management of a thoracoabdominal aneurysm in a patient with both Loeys-Dietz and vascular Ehlers-Danlos syndrome

“…Endovascular and open repairs have been described previously 7 , 8 , 9 ; however, the optimal approach is unclear, and some surgeons consider specific mutations a contraindication to repair owing to significant morbidity and mortality resulting from bleeding, poor arterial wall strength, and tissue fragility.…”