Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmare
A 50-year-old male diabetic, hypertensive and chronic smoker presented with complex aortic, splanchnic aneurysms with impending rupture of iliac artery aneurysm, underwent coiling of celiac artery, internal iliac artery, and fenestrated/chimney endovascular aortic repair. One month later, the patien...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Indian Journal of Vascular and Endovascular Surgery |
| Subjects: | |
| Online Access: | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=179;epage=183;aulast=Chaudhari |
| _version_ | 1818579038071947264 |
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| author | Nikhil Vilas Chaudhari Varinder Singh Bedi Sandeep Agarwal Ajay Yadav Ambarish Satwik Apurva Srivastava |
| author_facet | Nikhil Vilas Chaudhari Varinder Singh Bedi Sandeep Agarwal Ajay Yadav Ambarish Satwik Apurva Srivastava |
| author_sort | Nikhil Vilas Chaudhari |
| collection | DOAJ |
| description | A 50-year-old male diabetic, hypertensive and chronic smoker presented with complex aortic, splanchnic aneurysms with impending rupture of iliac artery aneurysm, underwent coiling of celiac artery, internal iliac artery, and fenestrated/chimney endovascular aortic repair. One month later, the patient landed in an emergency due to bleeding complications of common hepatic artery and gastroduodenal artery aneurysms, which were managed successfully using endovascular techniques. The mayhem of progressive nature of the disease in the patient continued as he had left lower limb ischemia due to occlusion of the iliac artery and iliac limb of the aortic graft device as he continued to smoke. All of the above sequences of events occurred over a period of 5 years. He also developed a giant aneurysm of left anterior descending of 6.8 cm diameter, which had to be repaired by open surgical technique. The patient has been followed up for 6 years since his first presentation, and he was managed successfully from all the catastrophe of events using endovascular techniques. Giant coronary artery aneurysm with previous aneurysms at multiple sites is quite unusual and rare. Currently, there is no consensus regarding the clinical characteristics, diagnostic method, and the treatment of these cases. |
| first_indexed | 2024-12-16T06:55:20Z |
| format | Article |
| id | doaj.art-c27ecb1fe37c49ada1482dd560120956 |
| institution | Directory Open Access Journal |
| issn | 0972-0820 2394-0999 |
| language | English |
| last_indexed | 2024-12-16T06:55:20Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj.art-c27ecb1fe37c49ada1482dd5601209562022-12-21T22:40:18ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992021-01-018217918310.4103/ijves.ijves_55_20Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmareNikhil Vilas ChaudhariVarinder Singh BediSandeep AgarwalAjay YadavAmbarish SatwikApurva SrivastavaA 50-year-old male diabetic, hypertensive and chronic smoker presented with complex aortic, splanchnic aneurysms with impending rupture of iliac artery aneurysm, underwent coiling of celiac artery, internal iliac artery, and fenestrated/chimney endovascular aortic repair. One month later, the patient landed in an emergency due to bleeding complications of common hepatic artery and gastroduodenal artery aneurysms, which were managed successfully using endovascular techniques. The mayhem of progressive nature of the disease in the patient continued as he had left lower limb ischemia due to occlusion of the iliac artery and iliac limb of the aortic graft device as he continued to smoke. All of the above sequences of events occurred over a period of 5 years. He also developed a giant aneurysm of left anterior descending of 6.8 cm diameter, which had to be repaired by open surgical technique. The patient has been followed up for 6 years since his first presentation, and he was managed successfully from all the catastrophe of events using endovascular techniques. Giant coronary artery aneurysm with previous aneurysms at multiple sites is quite unusual and rare. Currently, there is no consensus regarding the clinical characteristics, diagnostic method, and the treatment of these cases.http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=179;epage=183;aulast=Chaudharifenestrated/chimney endovascular aortic repairgiant coronary artery aneurysmmultiple aneurysmspseudoaneurysm |
| spellingShingle | Nikhil Vilas Chaudhari Varinder Singh Bedi Sandeep Agarwal Ajay Yadav Ambarish Satwik Apurva Srivastava Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmare Indian Journal of Vascular and Endovascular Surgery fenestrated/chimney endovascular aortic repair giant coronary artery aneurysm multiple aneurysms pseudoaneurysm |
| title | Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmare |
| title_full | Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmare |
| title_fullStr | Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmare |
| title_full_unstemmed | Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmare |
| title_short | Complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm: An endovascular nightmare |
| title_sort | complex aortic aneurysm associated with multiple splanchnic arterial aneurysms and a giant coronary artery aneurysm an endovascular nightmare |
| topic | fenestrated/chimney endovascular aortic repair giant coronary artery aneurysm multiple aneurysms pseudoaneurysm |
| url | http://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2021;volume=8;issue=2;spage=179;epage=183;aulast=Chaudhari |
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