ABSTRACT
Presented herein is a clinical case report regarding treatment of a patient after endovascular prosthetic repair of an abdominal aortic aneurysm, complicated by ischaemic necrosis of the sigmoid colon. This is followed by analysing the causes of the development of the complication, as well as by a brief review of the literature concerning this problem.
Subject(s)
Aortic Aneurysm, Abdominal , Colectomy/methods , Colon, Sigmoid , Endovascular Procedures/methods , Ischemia , Laparoscopy/methods , Vascular Grafting/methods , Aged , Aortic Aneurysm, Abdominal/complications , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/surgery , Colon, Sigmoid/diagnostic imaging , Colon, Sigmoid/pathology , Colon, Sigmoid/surgery , Colonoscopy/methods , Colostomy/methods , Humans , Ischemia/diagnosis , Ischemia/etiology , Ischemia/surgery , Male , Tomography, Spiral Computed/methods , Treatment OutcomeABSTRACT
The article deals with a case report concerning successful stagewise treatment of a patient presenting with a giant false abdominal aortic paraanastomotic aneurysm having developed 2 months after an operation of linear prosthetic repair for a juxtarenal aneurysm with reimplantation of the left renal artery. The secondary operation was carried out 3 months after aortic reconstruction. The first stage consisted in performing endovascular prosthetic repair of the abdominal aortic paraanastomotic pseudoaneurysm by means of a bifurcated stent graft Endurant II (Medtronic), with the second stage being laparotomy with the removal of the retroperitoneal haematoma. The postoperative period turned out uneventful. The patient was discharged from hospital on the 8th day after the second operation. The patient was examined 2 months later, presenting no complaints and returning to his previous work. According to the findings of the check-up duplex scanning, the graft was patient, with no evidence of a paraanastomotic aneurysm. This is followed by discussion of the problems regarding the use of surgical and endovascular technologies in treatment of paraanastomotic aortic aneurysms.
Subject(s)
Anastomotic Leak , Aneurysm, False , Aorta, Abdominal , Aortic Aneurysm, Abdominal , Blood Vessel Prosthesis Implantation/methods , Renal Artery/surgery , Replantation , Anastomotic Leak/physiopathology , Anastomotic Leak/surgery , Aneurysm, False/diagnosis , Aneurysm, False/etiology , Aneurysm, False/physiopathology , Aneurysm, False/surgery , Aorta, Abdominal/pathology , Aorta, Abdominal/surgery , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/etiology , Aortic Aneurysm, Abdominal/physiopathology , Aortic Aneurysm, Abdominal/surgery , Humans , Laparotomy/methods , Male , Middle Aged , Renal Artery/pathology , Replantation/adverse effects , Replantation/methods , Treatment OutcomeABSTRACT
Presented herein is a case report concerning successful endovascular treatment of a patient with an infrarenal abdominal aortic aneurysm combined with a horseshoe kidney. The diagnosis was verified by multispiral computed tomography. The patient underwent of endovascular repair of the abdominal aorta with a stent-graft AORFIX (Lombard Medical). The postoperative period turned out uneventful, with no complications. The patient was examined 3 years after the intervention. The findings of control check-up computed tomography showed no signs of either stent graft dislocation or endoleak.
Subject(s)
Aorta, Abdominal , Blood Vessel Prosthesis Implantation/methods , Endovascular Procedures/methods , Intraoperative Care/methods , Kidney , Aorta, Abdominal/diagnostic imaging , Aorta, Abdominal/surgery , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/physiopathology , Aortic Aneurysm, Abdominal/surgery , Humans , Kidney/abnormalities , Kidney/blood supply , Male , Middle Aged , Stents , Tomography, Spiral Computed/methods , Treatment OutcomeABSTRACT
The review contains contemporary data of assessment on right ventricular (RV) function by various instrumental methods of investigation. Among all these methods multispiral computed tomography (MSCT) appears to be most perspective. Accuracy and reproducibility of measurements of RV function by MSCT and comparable with those of magnetic resonance tomography. The uniqueness of MSCT is its ability to produce complex simultaneous evaluation not only of RV-functional parameters but also of other anatomical structures located in the scanning field.
