Iliorenal artery bypass grafting to facilitate endovascular abdominal aortic aneurysm repair.

Abstract:

:Effective endovascular repair of an infrarenal abdominal aortic aneurysm (AAA) requires adequate proximal and distal landing zones to allow secure endograft attachment. We report a patient with an infrarenal AAA originating 3 mm below the left renal artery with cardiac morbidity that precluded open AAA repair. Left renal artery relocation with retroperitoneal iliorenal bypass grafting was performed to lengthen the proximal landing zone, which facilitated successful endovascular AAA repair. Postoperative surveillance after 3 years showed aneurysm reduction with a patent iliorenal bypass graft. This case underscores the utility of a combined open and endovascular approach in treatment of a challenging aortic aneurysm.

journal_name

J Vasc Surg

authors

Lin PH,Madsen K,Bush RL,Lumsden AB

doi

10.1016/s0741-5214(03)00117-4

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

183-5

issue

1

eissn

0741-5214

issn

1097-6809

pii

S0741521403001174

journal_volume

38

pub_type

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