Kakkos Stavros K, Papageorgopoulou Chrysanthi P, Katsanos Konstantinos, Zampakis Peter, Siampalioti Athina, Ntouvas Ioannis, Loizou Chrysanthi-Helen, Tsamantioti Eleni, Papadoulas Spyros, Nikolakopoulos Konstantinos M, Kouri Anastasia
Department of Vascular Surgery, University of Patras Medical School, Patras, Greece.
Department of Radiology, University of Patras Medical School, Patras, Greece.
Aorta (Stamford). 2020 Apr;8(2):41-45. doi: 10.1055/s-0040-1702142. Epub 2020 Jul 31.
A 71-year-old man with end-stage renal disease on hemodialysis presented with bilateral common iliac artery aneurysms diagnosed during the workup of his chronic kidney disease. On computed tomography angiography, common iliac artery aneurysm diameters measured 6.1 cm on the right side and 3.1 cm on the left side. The infrarenal aorta also had a small 3.2-cm aneurysm, but the length from the lowest left renal to the aortic bifurcation was only 6.7 cm, precluding use of most bifurcated endografts. Following an uneventful staged preoperative internal iliac artery embolization, a two-piece D: -shaped Altura endograft for the aorta, with bilateral iliac components, landing at the level of the external iliac arteries was successfully performed. Postoperative course was uneventful with no endoleak or endograft migration on computerized tomographic angiography 45 days later, although billowing mimicking an endoleak was evident and will be closely followed.
一名71岁接受血液透析的终末期肾病男性患者，在慢性肾病检查过程中被诊断出双侧髂总动脉瘤。在计算机断层血管造影检查中，右侧髂总动脉瘤直径为6.1厘米，左侧为3.1厘米。肾下腹主动脉也有一个3.2厘米的小动脉瘤，但从左肾最低点到主动脉分叉处的长度仅为6.7厘米，这使得大多数分叉型腔内移植物无法使用。在顺利完成分期术前髂内动脉栓塞后，成功植入了一款两件式D形Altura主动脉腔内移植物，带有双侧髂部组件，着陆于髂外动脉水平。术后过程顺利，45天后的计算机断层血管造影显示无内漏或移植物移位，尽管有类似内漏的波动现象很明显，将密切随访观察。
