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

References

Noszczyk W, Bielska H, Kostewicz W, Noszczyk B. False aneurysms of the proximal anastomosis of the arterial prosthesis and the abdominal aorta. Med Sci Monit. 2000;6:390-8.

Millili JJ, Lanes JS, Nemir P Jr. A study of anastomotic aneurysms following aortofemoral prosthetic bypass. Ann Surg. 1980;192:69-73.

Melissano G, Di Mario C, Tshomba Y. Endovascular treatment of a noninfected anastomotic juxtarenal aortic aneurysm. Tex Heart Inst J. 2000;27:408-11.

van den Akker PJ, Brand R, van Schilfgaarde R, van Bockel JH, Terpstra JL. False aneurysms after prosthetic reconstructions for aortoiliac obstructive disease. Ann Surg. 1989;210:658-66.

Szilagyi DE, Smith RF, Elliot JP, Hageman JH, Dall'Olmo CA. Anastomotic aneurysm after vascular reconstruction: problems of incidence, etiology and treatment. Surgery. 1975;78:800-16.

Gautier C, Borie H, Lagneau P. Aortic false aneurysms after prosthetic reconstruction of the infrarenal aorta. Ann Vasc Surg. 1992:413-7.

Mulder EJ, van Bockel JH, Maas J, van den Akker PJ, Hermans J. Morbidity and mortality of reconstructive surgery of noninfected false aneurysms detected long after aortic prosthetic reconstruction. Arch Surg. 1998;133:45-9.

Melissano G, Di Mario C, Tschomba Y. Endovascular treatment of aortic aneurysms of the abdominal aorta with covered stents. Cardiologia. 1999;44:949-56.

Faries PL, Won J, Morrissey NJ. Endovascular treatment of failed prior abdominal aortic aneurysm repair. Ann Vasc Surg. 2003;17:43-8.

Tiesenhausen K, Hausegger KA, Tauss J, Amann W, Koch G. Endovascular treatment of proximal anastomotic aneurysms after aortic prosthetic reconstruction. Cardiovasc Intervent Radiol. 2001;24:49-52.

Treiman GS, Weaver FA, Cossman DV. Anastomotic false aneurysms of the abdominal aorta and the iliac arteries. J Vasc Surg. 1988;8:268-73.

Magnan PE, Albertini JN, Bartoli JM. Endovascular treatment of anastomotic false aneurysms of the abdominal aorta. Ann Vasc Surg. 2003;17:365-74.

Schonholz C, Donnini F, Naselli G, Pocovi A, Parodi JC. Acute rupture of an aortic false aneurysm treated with a stent-graft. J Endovasc Surg. 1999:293-6.

van Herwaarden JA, Waasdorp EJ, Bendermacher BL, van den Berg JC, Teijing JA, Moll FL. Endovascular repair of paraanastomotic aneurysms after previous open aortic prosthetic reconstruction. Ann Vasc Surg. 2004;18:280-6.

Morrissey NJ, Yano OJ, Soundararajan K. Endovascular repair of para-anastomotic aneurysm of the aorta and iliac arteries: preferred treatment for a complex problem. J Vasc Surg.. 2001;34:503-12.

Mikati A, Marache P, Watel A. End-to-side aortoprosthetic anastomoses: long-term computed tomography assessment. Ann Vasc Surg. 1990;4:584-91.

Aguiar ET, Albers MT, Langer B, Fratezi AC, Furlan JC. Surgical treatment of infections involving arterial prosthesis in aorto-femoral position. Rev Hosp Clin Fac Med Sao Paulo. 1993;48:76-81.

Aguiar ET, Langer B, Albers MT, Fratezi AC, Basseto FL. Infection involving arterial prosthesis: clinical picture, etiology and predisposing factors. Rev Hosp Clin Fac Med Sao Paulo. 1993;48:8-12.

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