Posttraumatic infrarenal abdominal aortic pseudoaneurysm treated with bifurcated endovascular graft stent

Oner, Ender; Erkanlı, Korhan; Aktürk, İbrahim Faruk; Ünal, Aydın; Akıncı, Okan; Yildirim, Aydın

doi:10.5114/pwki.2015.52289

Cited by 3 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Looking back upon this case, this 83-year-old patient may have been a good candidate for EVAR. In addition, a case of ruptured aortic PA near the aortic bifurcation that was treated successfully with EVAR has been reported [19]. However, we could not completely dismiss the possibility of a mass lesion originating from bowel or mesentery; thus, open surgery with graft interposition was performed after exploration.…”

Section: Discussionmentioning

confidence: 97%

Huge Pseudoaneurysm at the Aortic Bifurcation Misdiagnosed as a Mesenchymal Tumor: A Case Report

Park,

Woo,

Min

2024

Vasc Specialist Int

View full text Add to dashboard Cite

Aortic pseudoaneurysms (PA) vary in size and may remain asymptomatic. PAs may be caused by vascular injury, such as trauma or surgery, or other non-traumatic causes, such as Bechet disease, infection, or penetrating atherosclerotic ulcers. The diagnosis of PAs may have been delayed for decades. We present a case of a PA detected incidentally in a male patient who experienced traumatic bowel perforation due to blunt abdominal trauma 30 years before presentation. Computed tomography (CT) displayed a 9.2 cm mass in the pelvis, initially considered a neoplasm of small bowel origin. Further analysis of the CT images suggested a thrombosed PA at the aortic bifurcation, which was confirmed via surgical exploration. Graft interposition was performed using a Dacron 16-8 mm graft and the patient recovered without any complications. This case highlights the importance of a high index of suspicion for the diagnosis of a thrombosed aortic PA.

show abstract

Section: Discussionmentioning

confidence: 97%

Huge Pseudoaneurysm at the Aortic Bifurcation Misdiagnosed as a Mesenchymal Tumor: A Case Report

Park,

Woo,

Min

2024

Vasc Specialist Int

View full text Add to dashboard Cite

show abstract

“…More recently, Oner et al 10 ) have reported a case of post-traumatic AAP 8 months after being stabbed in the back and right flank. The pseudoaneurysm was close to the iliac bifurcation; the authors decided to deploy a bifurcated endovascular graft stent, the TriVascular Ovation endovascular stent and successfully resolved the case.…”

Section: Discussionmentioning

confidence: 99%

“…Endovascular repair for the treatment of AAP has been reported through the application of stent grafts in two case reports and with a balloon-expandable bifurcated endoprosthesis in other cases. 7 – 10 )…”

Section: Discussionmentioning

confidence: 99%

Infrarenal Abdominal Aortic Pseudoaneurysm: Is It a Real Emergency?

Massara

Prunella

Gerardi

et al. 2017

Annals of Vascular Diseases

View full text Add to dashboard Cite

Abdominal aortic pseudoaneurysm is a rare but life-threatening condition that occurs due to penetrating or blunt trauma. Clinical manifestations are variable, and the time interval from the initial trauma to diagnosis is variable. A prompt diagnosis and an aggressive management approach are required to avoid catastrophic complications. Possible treatment options are open surgical repair, endovascular repair, pseudoanerysmal sac thrombosis induction through direct thrombin injection, and coil embolization. Here, we present the case of a 75-year-old man affected by an infrarenal abdominal aortic pseudoaneurysm presenting with abdominal and lumbar pain for 3 days, who was successfully treated with an endograft.

show abstract

“…Clinically, bifurcated stent grafts comprised of modular components that allow graft-guided blood flow to the two iliac arteries are most commonly used in endovascular aneurysm repair (EVAR) [ 1 , 2 ]. The conventional surgery procedure employs proximal neck deployment (with an attached ipsilateral iliac limb) first, followed by contralateral iliac limb deployment.…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic performance within crossed stent grafts: computational and experimental study on the effect of cross position and angle

2018

View full text Add to dashboard Cite

Background and aimsThe crossed limbs stent graft technique is regularly employed to treat abdominal aortic aneurysm patients with unfavorable aneurysm necks or widely splayed common iliac arteries. This article numerically evaluates the hemodynamic performance of the crossed limbs strategy by analyzing numerical simulations and conducting experiments using two series of idealized bifurcated stent grafts with different cross angles and cross positions.ResultsResults demonstrated that the absolute helicity at outlets decreased with increased cross angles and increased with decreased cross positions. The time-averaged wall shear stress remained approximately unchanged, whereas the oscillating shear index and relative resident time decreased slightly when the cross angle increased and cross position decreased in iliac grafts. Additionally, both numerical and in vitro experimental results indicate the displacement force acting on the stent graft gradually increased as cross angles increased and cross positions decreased. Results further indicated that strip areas with a high oscillating shear index and high relative resident time, which may be vulnerable to thrombosis formation, exist along the outer surface of the iliac artery grafts.ConclusionGiven this information, the optimal crossed limbs configuration may contain a small cross angle and low cross position; however, low cross positions may increase the risk of migration.

show abstract

Posttraumatic infrarenal abdominal aortic pseudoaneurysm treated with bifurcated endovascular graft stent

Cited by 3 publications

References 14 publications

Huge Pseudoaneurysm at the Aortic Bifurcation Misdiagnosed as a Mesenchymal Tumor: A Case Report

Huge Pseudoaneurysm at the Aortic Bifurcation Misdiagnosed as a Mesenchymal Tumor: A Case Report

Infrarenal Abdominal Aortic Pseudoaneurysm: Is It a Real Emergency?

Hemodynamic performance within crossed stent grafts: computational and experimental study on the effect of cross position and angle

Contact Info

Product

Resources

About