Electronic ISSN 2287-0237

VOLUME

ENDOVASCULAR MANAGEMENT OF JUXTARENAL ABDOMINAL AORTIC ANEURYSM: A CASE REPORT

FEBRUARY 2019 - VOL.15 | CASE REPORT

Fenestrated endovascular aneurysm repair (FEVAR) is an option for management ofa very complex abdominal aortic aneurysm (AAA). We are reporting on the case of a74-year-old male with a 7.8 × 6.8 cm juxtarenal abdominal aortic aneurysm that arises atthe level of the renal arteries and extends down to just above the iliac bifurcation andsevere bilateral renal artery stenosis with caudally oriented left renal and cranially orientedright renal artery. This case shows that a strategy with fenestrated graft is feasible foraortic aneurysm repair and may offer a reasonable option for patients with very complexaortic anatomy. The patient was discharged home in 4 days without complications. Thecomputed tomography angiography at 1 month showed a small type II endoleak at aorticbifurcation level. The patient remained well on follow up 4 months post-surgery.

Keywords:

juxtarenal aortic aneurysms

Received: November 27, 2018

Revision received: December 13, 2018

Accepted after revision: January 01, 2019

BKK Med J 2019;15(1): 63-65.

DOI: 10.31524/bkkmedj.2019.02.011

MEDIA
Figure 1: Three-dimensional reconstruction of computed tomography angiography (CTA) demonstrates a juxtarenal abdominal aortic aneurysm (AAA).
Figure 2: After right renal artery, left renal artery and SMA were sequentially cannulated with Terumo 0.035-inch wires over Cobra C2 catheters (Cook, Bloomington, IN, USA)
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