Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification
In the present report, we describe the case of a patient with an infrarenal abdominal aortic aneurysm that had been incidentally noted on an imaging study. Treatment decisions for this case were complicated by the presence of a hostile infrarenal aortic neck and significant bilateral iliac artery ci...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723000503 |
| _version_ | 1797797140738605056 |
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| author | Halli Krzyzaniak, MD, BSc Griffins Misati, BSc Mark Rockley, MD, MSc, FRCSC Kenton Rommens, MD, FRCSC |
| author_facet | Halli Krzyzaniak, MD, BSc Griffins Misati, BSc Mark Rockley, MD, MSc, FRCSC Kenton Rommens, MD, FRCSC |
| author_sort | Halli Krzyzaniak, MD, BSc |
| collection | DOAJ |
| description | In the present report, we describe the case of a patient with an infrarenal abdominal aortic aneurysm that had been incidentally noted on an imaging study. Treatment decisions for this case were complicated by the presence of a hostile infrarenal aortic neck and significant bilateral iliac artery circumferential calcification, precluding iliac artery clamping and standard distal anastomotic techniques. We performed a hybrid surgical procedure, deploying bilateral iliac stent grafts into the distal aneurysmal aorta and sewing our aortic graft to the proximal extent of these stents. The findings from the present case add to the previously reported techniques of hybrid surgical management of abdominal aortic aneurysms with iliac disease and expand the technique to a larger application. |
| first_indexed | 2024-03-13T03:44:44Z |
| format | Article |
| id | doaj.art-8a1e9d37af1d41649b43d76ba31a0481 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-03-13T03:44:44Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-8a1e9d37af1d41649b43d76ba31a04812023-06-23T04:43:39ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872023-06-0192101141Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcificationHalli Krzyzaniak, MD, BSc0Griffins Misati, BSc1Mark Rockley, MD, MSc, FRCSC2Kenton Rommens, MD, FRCSC3Cumming School of Medicine, University of Calgary, Calgary, AB, Canada; Division of Vascular Surgery, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada; Correspondence: Halli Krzyzaniak, MD, BSc, Division of Vascular Surgery, Libin Cardiovascular Institute, University of Calgary, 3500 26 Ave NE, Calgary, AB T1Y 6J4, CanadaCumming School of Medicine, University of Calgary, Calgary, AB, CanadaCumming School of Medicine, University of Calgary, Calgary, AB, Canada; Department of Vascular Surgery, University of Ottawa, Ottawa, ON, CanadaCumming School of Medicine, University of Calgary, Calgary, AB, Canada; Division of Vascular Surgery, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, Canada; Calgary Aortic Program, Libin Cardiovascular Institute, University of Calgary, Calgary, AB, CanadaIn the present report, we describe the case of a patient with an infrarenal abdominal aortic aneurysm that had been incidentally noted on an imaging study. Treatment decisions for this case were complicated by the presence of a hostile infrarenal aortic neck and significant bilateral iliac artery circumferential calcification, precluding iliac artery clamping and standard distal anastomotic techniques. We performed a hybrid surgical procedure, deploying bilateral iliac stent grafts into the distal aneurysmal aorta and sewing our aortic graft to the proximal extent of these stents. The findings from the present case add to the previously reported techniques of hybrid surgical management of abdominal aortic aneurysms with iliac disease and expand the technique to a larger application.http://www.sciencedirect.com/science/article/pii/S2468428723000503Aortic aneurysmIliac calcificationOpen repair |
| spellingShingle | Halli Krzyzaniak, MD, BSc Griffins Misati, BSc Mark Rockley, MD, MSc, FRCSC Kenton Rommens, MD, FRCSC Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification Journal of Vascular Surgery Cases and Innovative Techniques Aortic aneurysm Iliac calcification Open repair |
| title | Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification |
| title_full | Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification |
| title_fullStr | Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification |
| title_full_unstemmed | Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification |
| title_short | Hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification |
| title_sort | hybrid surgical technique for open abdominal aortic aneurysm repair in the setting of severe iliac artery calcification |
| topic | Aortic aneurysm Iliac calcification Open repair |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723000503 |
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