Interdisciplinary Approach to Treatment of Multiple Arterial Aneurysms in Patient with Eighth Recurrence of Incisional Hernia – A Case Report
Authors:
T. Novotný 1; J. Buček 1; Z. Kříž 1; B. Vojtíšek 2; M. Přívara 1; B. Horký 1; J. Jeřábek 1
Authors‘ workplace:
II. chirurgická klinika, Lékařská fakulta Masarykovy univerzity a FN u sv. Anny v Brně, Brno
přednosta doc. MUDr. Z. Gregor, CSc.
1; Klinika zobrazovacích metod, Lékařská fakulta Masarykovy univerzity a FN u sv. Anny v Brně, Brno
přednosta doc. MUDr. P. Krupa, CSc.
2
Published in:
Rozhl. Chir., 2007, roč. 86, č. 10, s. 562-567.
Category:
Monothematic special - Original
Overview
Vascular surgery is not the only option for arterial aneurysm treatment. Minimally invasive techniques are being increasingly used, especially methods of interventional radiology.
We present a case of a 51-year-old man who came to our department in July 2005 because of sonographically diagnosed popliteal artery aneurysm. Simultaneous presence of subrenal abdominal aortic aneurysm, bilateral iliac and femoral artery aneurysms and left popliteal artery aneurysm was found. This patient was operated on for pancreatic pseudocyst in 2000 and then during next three years eight times for incisional hernia and its recurrences. The operations were carried out in other surgical departments. Eighth recurrence of incisional hernia was already present. Because of these facts, the risk of resection was deemed too high. Therefore, we chose stent graft implantation for abdominal aortic aneurysm treatment. The endovascular approach was also used to treat some complications that occurred.
In this case report, we would like to present a combination of surgical and interventional radiological approaches to treatment of arterial aneurysms as a typical example of interdisciplinary cooperation.
Key words:
popliteal aneurysm – aortic aneurysm- stent graft – incisional hernia
Sources
1. Diwan, A., Sarmat, R., Stanley, J. C., Zelenock, G. B., Wakefield, T. W. Incidence of femoral and popliteal artery aneurysms in patients with abdominal aortic aneurysms. J. Vasc. Surg., 2000; 31(5): 863–869.
2. Galland, R. B. Popliteal aneurysms: controversies in their management. Am. J. Surg., 2005; 190(2): 314–318.
3. Aulivola, B., Haman, A. D., Hile, C. N., Sheahan, M. G., Skillman, J. J., Campbell, D. R., Scovell, S. D., LoGerfo, F. W., Pomposelli, F. B. Popliteal artery aneurysms: A comparison of outcomes in elective versus emergent repair. J. Vasc. Surg., 2004; 39(6): 1171–1177.
4. Třeška, V., a kol. Aneuryzma břišní aorty. Praha: Grada, 1999. 108 s. ISBN 80-7169-724-9.
5. Ferko A., Krajina A. Arteriální aneuryzmata. Základy endovaskulární a chirurgické léčby. Hradec Králové: ATD, 1999, 166 s.
6. Utíkal P., Kocher M., Koutná J., Bachleda P., Dráč P., Černá M., Buriánková E. AAA elective treatment indication tactics in EVAR era. Biomed. Pap. Med. Fac. Univ. Palacky Olomouc Czech Repub, 2004; 148(2): 183–187.
7. Mahmood, A., Salaman, R., Sintler, M., Smith, S. R. G., Simms, M. H., Vohra, R. K. Surgery of popliteal artery aneurysms: A 12-year experience. J. Vasc. Surg., 2003; 37(3): 586–593.
8. Podlaha J., Holub R., Konečný Z., Leypold J., Dvořák M., Piskač P. 20-year experience in surgical treatment of popliteal aneurysm. Rozhl. Chir., 2005; 84(10): 498–500.
9. Blanco, E., Serrano-Hernando, F. J., Monux, G., Vega, M., Martin, A., Rial, R., Reina, T., Sánchez-Hervas, L. Operative Repair of Popliteal Aneurysms: Effect of Factors Related to the Bypass Procedure on Outcome. Ann. Vasc. Surg., 2004; 18(1): 86–92.
10. Ebaugh, J. L., Morasch, M. D., Matsumura J. S., Eskandari, M. K., Meadows, W. S., Pearce, W. H. Fate of excluded popliteal artery aneurysms. J. Vasc. Surg., 2003; 37(5): 954–959.
11. Deglise, S., Qanadli, S. D., Rizzo, E., Ducrey N., Doenz F., Halley C., Denis A., Corpataux, J-M. Long-term follow-up of surgically excluded popliteal artery aneurysms with multi-slice CT angiography and Doppler ultrasound. Eur. Radiol., 2006; 16(6): 1323–1330.
12. Metha, M., Champagne, B., Darling, C., Roddy, S. P., Kreienberg, P. B., Ozsvath, K. J., Paty, P. S. K., Chang, B. B., Shah, D. M. Outcome of popliteal artery aneurysms after exclusion and bypass: Significance of residual patent branches mimicking type II endoleaks. J. Vasc. Surg., 2004; 40(5): 886–890.
13. Maldonado, T. S., Rockman, C. B., Riles, E., Souhlas, D., Adelman, M. A., Jacobowitz, G. R., Gagne, P. J., Nalbadian M. N., Cayne, N. S., Lamparello, P. J., Salzburg, S. S., Riles, T. S. Ischemic compliactions after endovascular abdominal aortic aneurysma repair. J. Vasc. Surg., 2004; 40(4): 703–710.
14. Marin, M. L., Veith, F. J., Lyon, R. T., Dynamon, J., Sanchez L. A. Transfemoral Endovascular Repair of Iliac Artery Aneurysms. Am. J. Surg., 1995; 170(2): 179-182.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2007 Issue 10
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