Tratamento endovascular de aneurisma hipogástrico tardio após cirurgia de aneurisma aórtico

Viviana Manuel , Pedro Martins , Ana Evangelista , Augusto Ministro , Angélica Damião , Luís Mendes Pedro , José Fernandes e Fernandes
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引用次数: 0

Abstract

The internal iliac artery aneurysm is a rare clinical entity, which constitutes a diagnostic and therapeutic challenge, manifested by a high percentage of mortality cases when rupture occurs.

The authors present a 75 year‐old male previously submitted to infra‐renal aorto‐iliac aneurysm partial resection and interposition of a bifurcated aorto‐bifemoral graft. At 9 years follow‐up a 4,5 cm asymptomatic hypogastric aneurysm was diagnosed. Hypogastric embolization complemented with the implantation of an iliac stent‐graft was the treatment of choice, proving to be a safe and effective treatment modality

主动脉动脉瘤手术后晚期胃下动脉瘤的血管内治疗
髂内动脉瘤是一种罕见的临床实体,它构成了诊断和治疗的挑战,表现为高死亡率的病例发生破裂。作者报告了一位75岁男性患者,此前曾接受肾下主动脉-髂动脉瘤部分切除和双侧主动脉分叉移植。在9年的随访中,诊断出一个4.5 cm无症状的胃下动脉瘤。胃下栓塞配合髂支架植入是治疗的选择,被证明是一种安全有效的治疗方式
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