Innomino-abdominal aortic bypass graft: A safe alternative for coarctation of aorta

Middle aortic syndrome (MAS) is a rare disease characterized by distal thoracic aorta or abdominal aorta coarctation, and thoraco-abdominal aortic bypass grafting is an effective treatment for this condition. However, significant trauma is associated with the conventional surgical approach. We report a 26-year-old woman with MAS who presented with hypertension and needed thoraco-abdominal bypass grafting. In this operation, we adopted the endoscopic technique to improve the conventional surgical approach (reduce the incision). This case report shows that it is safe and feasible to use an endoscopic technique to reduce the trauma during this kind of operation, and provides a reference for similar treatments.

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Do you have information or data on Abdominal Aortic Bypass (AAA) pathway outcomes?

Journal of Vascular Nursing ◽

10.1016/s1062-0303(01)70003-9 ◽

2001 ◽

Vol 19 (4) ◽

pp. 121

Keyword(s):

Aortic Bypass ◽

Abdominal Aortic

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Vascular surgery

10.1093/med/9780199608911.003.0008 ◽

2017 ◽

Author(s):

Anil Agarwal ◽

Neil Borley ◽

Greg McLatchie

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Vascular Surgery ◽

Lower Limb ◽

Varicose Veins ◽

Bypass Graft ◽

Ruptured Abdominal Aortic Aneurysm ◽

Foam Sclerotherapy ◽

Aortobifemoral Bypass ◽

Abdominal Aortic

This chapter covers vascular operations. Treatments described for varicose veins are high tie and multiple avulsions, radio-frequency ablation, and foam sclerotherapy. Repair of elective and ruptured abdominal aortic aneurysm and endovascular repair are described. Operations like aortobifemoral bypass, femoral popliteal above- and below-knee bypass graft, and femoro-distal bypass are included. Urgent operations like femoral and brachial embolectomy, lower limb fasciotomy are also described. In addition, above- and below-knee amputations and vascular access are included.

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Coronary Artery Disease as a Relevant Risk Factor in Screening of Abdominal Aortic Ectasia and Aneurysm

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0038-1676336 ◽

2018 ◽

Cited By ~ 1

Author(s):

Ahmed Koshty ◽

Magdalena Bork ◽

Andreas Böning ◽

Dursun Gündüz ◽

Sebastian Pleger

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Screening Program ◽

Artery Bypass ◽

Bypass Graft ◽

Sonographic Examination ◽

Screening Programs ◽

Abdominal Aortic ◽

Artery Disease ◽

Aortic Ectasia

Background The aim of this study was to investigate the prevalence of abdominal aortic aneurysm (AAA) and abdominal aortic ectasia (AAE) in coronary artery disease (CAD) patients in a multicenter setting to obtain significant data to establish an AAA screening program in our departments. Methods Between January and September 2016, 500 patients with suspected or diagnosed CAD planned for coronary angiography or coronary artery bypass graft (CABG) underwent a sonographic examination of the infrarenal abdominal aorta to diagnose AAA or AAE. We calculated the prevalence of AAA and AAE in patients diagnosed of CAD and investigated factors potentially associated with the occurrence of AAA. Results The overall prevalence in all grades of CAD for AAE was 35.1% and for AAA 5.4%. In patients with three-vessel CAD, the prevalence of AAE was 34% and of AAA 6.8%. Significant correlation was found between the three-vessel CAD and AAA (p = 0.039). The logistic regression analysis showed significant correlation between AAA and age > 65 years (p = 0.05). The multivariate analysis of risk factors and CAD revealed significant correlations between one-vessel CAD and arterial hypertension (AH) (p = 0.004) and age > 65 years (p = 0.001) as well as between three-vessel CAD and AH (p = 0.01), peripheral artery disease (p = 0.01), and age > 65 years (p = 0.03). Conclusion Our results confirm, that in comparison to other data, the prevalence of AAA in patients with CAD is high. Thus, it is recommended to include patients with CAD, especially elderly patients with three-vessel CAD, in future AAA screening programs.

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Successful Surgical Abdominal Aortic Debranching Preceding Stent Graft Implantation: A Case Report

The Thoracic and Cardiovascular Surgeon Reports ◽

10.1055/s-0038-1660834 ◽

2018 ◽

Vol 07 (01) ◽

pp. e24-e26

Author(s):

Magdalena Laux ◽

Michael Erb ◽

Frank Hoelschermann ◽

Johannes Albes

Keyword(s):

Endovascular Aneurysm Repair ◽

Celiac Trunk ◽

Safe Alternative ◽

Aortic Repair ◽

Abdominal Aortic ◽

Custom Made ◽

Open Aortic Repair ◽

Vein Bypass ◽

Thoracic And Abdominal ◽

Aneurysm Repair

Background Acute endovascular aneurysm repair with stent grafts (thoracic endovascular aortic repair [TEVAR]) is safe and feasible. Case Description A 64-year-old female presented with a perforated aortic aneurysm of the thoracic descending aorta. Primary TEVAR resulted in good management of the perforation but a type Ib endoleakage remained postoperatively. To place another stent, abdominal debranching with saphenous vein bypass to the celiac trunk was required. In the same session, another endograft was inserted successfully. Conclusion Abdominal debranching is a safe alternative to open aortic repair in acute thoracic and abdominal aneurysms, instead of waiting for a custom-made device.

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