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Endovascular treatment of paravisceral mycotic aneurysm: Chimmeny endovascular sealing the end of de road

Endovascular treatment of paravisceral mycotic aneurysm: Chimmeny endovascular sealing the end of de road

作     者:Martin Rabellino Pedro N Moltini Vanesa G Di Caro Jose G Chas Ricardo Marenchino Ricardo D Garcia-Monaco 

作者机构:Department of Interventional RadiologyHospital Italiano de Buenos Aires Department of Cardio-vascular SurgeryHospital Italiano de Buenos Aires 

出 版 物:《World Journal of Cardiology》 (世界心脏病学杂志(英文版)(电子版))

年 卷 期:2017年第9卷第7期

页      面:629-633页

学科分类:1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100401[医学-流行病与卫生统计学] 10[医学] 

主  题:Mycototic aneurysms Edovascular repair Aorta Endoleaks Para visceral aneurysms 

摘      要:Open surgery is the elective treatment for mycotic aneurysms of the aorta. This surgery consists of resection of the aneurysm, debridement and revascularization with an in situ or extra-anatomic bypass. Even when surgery has been successful, the morbimortality is raised and the endovascular treatment has become an alternative for specific patients. When mycotic aneurysms involved the visceral arteries, more complex techniques are necessary such as fenestrated endovascular aortic repair or chimmeny endovascular aortic repair and the most frequent complications of this are endoleaks and oclussion the visceral arteries. We present a case of a pacient with a paravisceral abdominal mycotic aneurysms that was result with 2 chimney technique(in the right renal and superior mesenteric arteries) and a single Nellix EVAS(Endologix, Irvine, Calif) of 12 cm long without evidence of endoleaks in the follow-up.

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