Endovascular aneurysm repair with inferior mesenteric artery chimney in a high-risk patient with abdominal aortic aneurysm and iliac occlusion

Journal of Vascular Surgery Cases and Innovative Techniques

Carlos Mena, MD¹  Valentyna Kostiuk, BA²  Raul J. Guzman, MD³  Cassius Iyad Ochoa Chaar, MD, MS³  Bauer Sumpio, MD, PhD⁴ 

[1] Correspondence: Valentyna Kostiuk, BA, Yale University School of Medicine, 375 Congress Ave, New Haven, CT 06510;Department of Genetics, Yale University School of Medicine, New Haven, Conn;Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, Conn;Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Conn;

关键词: Abdominal aortic aneurysm;    Chimney graft;    Endovascular aneurysm repair (EVAR);    Inferior mesenteric artery;   

DOI  :  

来源: DOAJ

【 摘 要 】

A 63-year-old man presented for the treatment of abdominal aortic aneurysm in the setting of bilateral internal iliac artery compromise from prior peripheral arterial disease treatments. The inferior mesenteric artery (IMA) measured 5 mm. Patient underwent coronary artery stenting 6 months prior and experienced left leg claudication. He underwent endovascular aneurysm repair with chimney IMA grafting and a femorofemoral bypass with uneventful recovery. At 1 year, computed tomography angiogram shows no flow in the aneurysm sac, and his left leg claudication resolved. Endovascular aneurysm repair with chimney IMA grafting for colonic perfusion preservation is a reasonable alternative to open surgical repair with IMA reimplantation in high-risk patients.

【 授权许可】

Unknown