A giant abdominal aortic aneurysm (AAA) renders surgical treatment much more difficult by deforming the proximal infrarenal aortic neck (shortened length and disturbed angulation), by altering the iliac arteries (marked tortuosity and aneurysmal dilatation), and by displacing abdominal organs. Because the retroperitoneal rupture of giant AAA makes the mesentery more elongated and deformed, comp...

Ortner’s syndrome is a non-specific symptom of thoracic aortic aneurysm, therefore, it constitutes challenge — both, diagnostic and therapeutical for contemporary physicians. This paper presents the case 70-year-old patient reporting hoarse voice several months. Due to suspicion neoplastic disease, diagnostics were deepened during this diagnostic, an aneurysm descending aorta with concurrent in...

A73-year-old woman who had been losing weight progressively (26 kg) over a period of 6 months came to our hospital after experiencing growing abdominal pain for 2 weeks. A CT of the abdomen revealed a 6-cm infrarenal abdominal aortic aneurysm surrounded by a contrast-enhancing mantel (Figure 1). Her C-reactive protein value was 4.3 mg/dL. Other laboratory tests revealed no specific findings. Th...

© 2005 AMC Média Inc. F years after surgical repair of an infrarenal aortic aneurysm, a 64-yearold man presented with pulsatile abdominal masses located in both lower abdominal quadrants. He had a history of myocardial infarction in 1974, coronary artery bypass surgery 8 years later and a second bypass procedure for recurrent angina in 1994. The infrarenal aortic aneurysm was repaired with a st...

Spontaneous aortocaval fistula is a rare complication of abdominal aortic aneurysms. We describe two cases of spontaneous aortocaval fistula. The first patient is a woman who was admitted with abdominal pain and pulsatile abdominal mass. Another patient was a man admitted with progressive abdominal pain and hypotension. Computed tomography (CT) scan in both patients showed an infrarenal aortic ...

Purpose. To investigate the reproducibility of aortic distensibility (D) measurement using CT and assess its clinical relevance in patients with infrarenal abdominal aortic aneurysm (AAA). Methods. 54 patients with infrarenal abdominal aortic aneurysm were studied to determine their distensibility by using 64-MDCT. Aortic cross-sectional area changes were determined at two positions of the aort...

Endovascular aneurysm repair has become the first-line treatment for abdominal aortic aneurysms and iliac artery aneurysms in recent years. However, the diameter of the infrarenal aorta is larger than that of the aortic bifurcation, especially with small aortic diameters, for which a reversed tapered device is necessary. We describe the off-label use of the upside-down Gore Excluder limb and do...

Endovascular aortic aneurysm repair with the Endurant™ stent-graft system has been shown to be safe and effective in high-risk surgical patients with complex suprarenal and/or infrarenal abdominal aortic aneurysm anatomy. The wireformed M-shaped stent architecture and proximal springs with anchoring pins theoretically permit optimal sealing in shorter and more angulated proximal aneurysm necks ...

OBJECTIVE Endovascular techniques to treat abdominal aortic aneurysms results in lower morbidity and mortality rates. However, dilation of the common iliac arteries prevents adequate distal sealing, which compromises the procedure success. The aim of this study is report the long-term outcomes of patients with abdominal aortic aneurysms associated with aneurysm of the common iliac artery follow...

A case of simultaneous coronary artery bypass grafting (CABG) and abdominal aortic aneurysm (AAA) repair on cardiopulmonary bypass (CPB) is reported. A 74-year-old man was diagnosed with left main coronary disease and infrarenal AAA. Triple CABG and infrarenal AAA repair were performed simultaneously, by different surgeons, on CPB. The duration of CPB, aortic clamp time, and total operation tim...