Abstract

  Abdominal aortic aneurysm (AAA) is a significant vascular condition in which a segment of the aorta becomes dilated below the diaphragm. Normal diameter is regarded to be less than 3 cm. According to various studies, the size threshold for operative treatment is usually 5 to 5.5 cm with asymptomatic patients. According to Brown., et al. [1], the diseased segment can grow to much larger sizes and in extreme cases can rupture catastrophically, resulting to fatal consequences reaching up to 80% mortality.

  We describe a case of a 30 year old, Filipina female diagnosed case of juxtarenal AAA who presented with severe back pain and underwent exploratory laparotomy, aborted open approach and eventually endovascular aortic repair (EVAR) using chimney graft technique last October 2013.

Keywords: Abdominal aortic aneurysm; Chimney Graft; Angiography

References

1. Brown L., et al. “The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy”. Health Technology Assessment 16.9 (2012): 1-218.
2. Moulakakis KG., et al. “The chimney graft technique for preserving visceral vessels during endovascular treatment of aortic pathologies”. Journal of Vascular Surgery 55.5 (2012): 1497-1503.
3. Greenberg R., et al. “Branched endografts for thoracoabdominal aneurysms”. The Journal of Thoracic and Cardiovascular Surgery 140 (2010): S171-178.
4. Galiñanes EL., et al. “Innovative chimney-graft technique for endovascular repair of a pararenal abdominal aortic aneurysm”. Texas Heart Institute Journal 42.1 (2015): 35-39.
5. Kfoury E., et al. “‘Chimney’ graft technique for juxtarenal AAA using unibody bifurcated stent graft”. Vascular Disease Management 10.3 (2013): E59-E62.

Citation

Citation: Neri Marco Paulo and Chua Jeffrey . "Case of Juxtarenal Abdominal Aortic Pseudoaneurysm Repaired Endovascular Using Chimney Graft Using Off Labeled Device".Acta Scientific Clinical Case Reports 1.1 (2020): 18-20.

Copyright

Copyright: © 2020 Neri Marco Paulo and Chua Jeffrey. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.