Endovascular stent-graft repair for abdominal aortic aneurysm in a patient with cardiac and renal dysfunction

Handa, Nobuhiro; Tomita, Shinji; Kato, Masaaki; Nishio, Ituki; Asano, Masahiro; Ueno, Yoichirou

doi:10.1007/s11748-008-0355-3

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…The protection of renal perfusion is very important in these patients. Decreased dose of contrast agent and monitorization of renal function positively affect renal and cardiac insufficiency (6). In a meta-analysis including 42 nonrandomized studies, the rates of early mortality, paraplegia, renal failure, need for transfusion, postoperative bleeding, cardiac complications, pneumonia, and hospitalization were reported to be lower in this technique than in open surgery (7).…”

Section: Discussionmentioning

confidence: 96%

Aortic Dissection In Case with Chronic Kidney Disease

BUYUKAYDIN¹,

Alay²,

KAZANCIOGLU³

et al. 2018

Bezmialem Science

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Aortic disection is an urgent clinical problem that rapid diagnosis and appropriate treatment is life-saving. Hypertension is one of the major risk factors. In this paper, a 56 years old female patient with hypertension and renal failure was presented. In this case after clinical suspicion aortic dissection was diagnosed with imaging studies. Endovascular aortic repair was performed but after surgery, patient died because of possible hemorrhage complication. In aortic disection, diagnosis and treatment could be fast. In chronic kidney disease the prognosis of these patients is adversely affected. Despite proper surgical intervention accompanying medical problems like chronic kidney disease have negative effects on survival. Keywords: Aortic disection, hypertension, chronic kidney disease ÖZ Aort diseksiyonu, hızlı tanı ve uygun tedavinin hayat kurtarı-cı olduğu, mortalitesi yüksek acil bir klinik tablodur. Nedenler arasında hipertansiyonun önemli yeri vardır. Burada 56 yaşında bir kadın olgu sunuldu. Bilinen hipertansiyonu olan ve böbrek yetmezliği kliniği ile başvuran bu olguda ancak radyolojik görün-tüleme ile şüpheye düşülen ve tanısı doğrulanan aort diseksiyonu izlendi. Hastaya endovasküler aortik repair işlemi uygulandı. Uygun medikal tedavi altında izlenen hasta olası cerrahi kanama komplikasyonu nedeniyle kaybedildi. Aort diseksiyonu tanı ve tedavinin hızlı yapılması gereken klinik bir tablodur. Böbrek yetmezliği bu hastalarda klinik seyri zorlaş-tırmakta ve prognozu kötü yönde etkilemektedir. Bu olgu ile uygun cerrahi müdahaleye rağmen mortalitenin yüksekliğini hatır-latmak ve eşlik eden böbrek yetmezliği gibi kronik hastalıkların, hasta takip ve sürvisindeki olumsuz etkilerini vurgalamak istedik. GirişAort diseksiyonu kanın aort duvarının tabakaları arasında bulunmasıdır. Multipl risk faktörleri sorumludur, hipertansiyon, insidansı nedeniyle en önemlisidir (1). Bu makalede hipertansiyonu olan ve böbrek yetmezliği ile başvuran bir aort diseksiyon (AD) olgusu sunulmuştur. OlguElli altı yaşında kadın hasta bulantı, kusma, nefes darlığı, ayaklarda şişlik ve bel ağrısı ile başvurdu. Beş yıldır bilinen hipertansiyonu vardı ve yakınmaları 15 gün önce başlamıştı. Fizik muayenede kan basıncı 160/90 mmHg ve ekstremiteler arasında fark yoktu. Diğer sistem muayenelerinde patoloji saptanmadı. Hastanın ilk laboratuvar sonuçları Tablo 1'de verilmiştir.Hasta hipertansiyon ve akut böbrek yetmezliği tanıları ile yatırıldı. Takipte bel ve karında şiddetli ağrı yakınması gelişti. Bilgisayarlı tomografi (BT) ve BT anjiografide desendan aortada torakal seviyeden iliak artere uzanan aort diseksiyonu izCite this article as: Büyükaydın B, Alay M, Kazancıoğlu R, Uğur A, Tunç M, Teker EM.

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Section: Discussionmentioning

confidence: 96%

Aortic Dissection In Case with Chronic Kidney Disease

BUYUKAYDIN¹,

Alay²,

KAZANCIOGLU³

et al. 2018

Bezmialem Science

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“…The giant AAA 9 cm in diameter was impending rupture and needed to be prevented. We performed simultaneously EVAR and CABG because of the advantages of EVAR in high-risk patients [12]. EVAR is more feasible, safer, and less invasive than open repair.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous endovascular repair for abdominal aortic aneurysm and coronary artery bypass grafting in an octogenarian: A case report

Tien

Bang

Cuong

et al. 2020

International Journal of Surgery Case Reports

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“…Particularly, patients at high risk for open abdominal repair have more benefit than low-risk patients. 10) One new, alternative option involves the combination of EVAR and CABG when anatomically appropriate, combined or staged.…”

Section: Discussionmentioning

confidence: 99%

A Case of Simultaneous Endovascular Aneurysmal Repair (EVAR) and Coronary Artery Bypass Grafting (CABG)

Kawarai

Yaginuma²,

Abe³

2012

Annals of Vascular Diseases

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A male patient with abdominal aortic aneurysm (AAA) and coronary artery disease was referred to our hospital. Coronary angiography showed multiple coronary lesions including the left main trunk. Computed tomography revealed a large AAA measuring 78 mm. To prevent aneurysmal rupture after coronary artery bypass grafting or cardiac complications after AAA repair, we performed simultaneous endovascular aneurysmal repair and coronary artery bypass grafting. The postoperative course was uneventful. Endovascular therapy and beating coronary artery bypass grafting is less invasive and may offer another promising option for the treatment of complicated case of AAA with severe coronary artery disease.

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Endovascular stent-graft repair for abdominal aortic aneurysm in a patient with cardiac and renal dysfunction

Cited by 4 publications

References 10 publications

Aortic Dissection In Case with Chronic Kidney Disease

Aortic Dissection In Case with Chronic Kidney Disease

Simultaneous endovascular repair for abdominal aortic aneurysm and coronary artery bypass grafting in an octogenarian: A case report

A Case of Simultaneous Endovascular Aneurysmal Repair (EVAR) and Coronary Artery Bypass Grafting (CABG)

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