Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/S1677-54492006000100011
Jornal Vascular Brasileiro
Case Report

Tratamento endoluminal de aneurismas anastomóticos na aorta abdominal: relato de dois casos

Endovascular treatment of abdominal aortic anastomotic aneurysms: report of two cases

Ricardo Aun; Fernando Tavares Saliture Neto; Alex Lederman; Hilton Waksman

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Resumo

Os aneurismas anastomóticos que envolvem a anastomose proximal de reconstruções do território aorto-ilíaco são graves, e as operações convencionais para sua correção são complexas e passíveis de graves complicações. Apresentamos dois casos de aneurismas de anastomoses proximais de enxerto aorto-bifemoral que ocorreram após 15 e 18 anos, respectivamente, de evolução dos enxertos e que foram corrigidos pela técnica endoluminal. Ambos os pacientes evoluíram bem e foram submetidos a controle pela tomografia computadorizada com 12 e 6 meses de evolução, respectivamente, com exclusão do aneurisma.

Palavras-chave

Pseudo-aneurisma, tratamento endoluminal

Abstract

Proximal anastomosis aneurysm is a rare and severe complication in aortofemoral bypass surgery. Surgical treatment is complex and has a high morbidity and mortality rate. We report two cases of proximal anastomosis aneurysm in late follow up of aortobifemoral bypass surgery, which occurred 15 and 18 years, respectively, after the bypasses and were repaired by the endovascular technique. Both patients progressed well and were submitted to 6- and 12-month follow-up CT scans showing aneurysm exclusion.

Keywords

Pseudoaneurysm, endovascular treatment

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