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Stent-graft treatment for isolated infrarenal aortic dissecting aneurysms
Roberto Caronno1, Gabriele Piffaretti, Matteo Tozzi
1Vascular Surgery, Department of Surgery, University of Insubria, Ospedale di Circolo, 21100 viale Borri 57, Varese, Italy.
Insights
Endovascular repair using stent-grafts is a feasible and effective treatment for isolated infrarenal aortic dissecting aneurysms. This minimally invasive approach demonstrated successful outcomes with no observed complications in three patients.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Disease
Background:
- Abdominal aortic aneurysms (AAAs) are a significant cause of mortality.
- Dissecting aneurysms present unique management challenges.
- Infrarenal aortic dissecting aneurysms require effective treatment strategies.
Observation:
- Three cases of isolated infrarenal aortic dissecting aneurysms were identified.
- Patients underwent endovascular repair with stent-grafts.
- Thoracic aortic dissection was ruled out via CT angiography.
Findings:
- Stent-graft repair was technically successful in all patients.
- No intraoperative mortality or stent-graft-related complications occurred.
- Patients experienced short hospitalizations with no ICU stay required.
Implications:
- Endovascular repair is a viable option for isolated infrarenal aortic dissecting aneurysms.
- This approach offers a safe and effective alternative to open repair.
- Further research can explore long-term outcomes of this technique.
Objectives:
We report three cases of isolated infrarenal aortic dissecting aneurysms managed with stent-graft.
Materials And Methods:
Three patients, two men and one woman, with a mean age at diagnosis of 69 years were identified. In all cases, chest CT-A did not reveal evidence of thoracic aortic dissection. The mean maximal aneurysm diameter was 6.7+/-1.5 cm (range: 5.5-8 cm). All patients underwent stent-graft repair. Follow-up computed tomographic (CT)-angiography examinations were scheduled 1, 4, and 12 months after the procedure.
Results:
Stent-graft deployment was technically successful in all cases. Intraoperative mortality was not observed. All patients were adequately treated with a bifurcated device. Intensive care unit (ICU) stay was never required. Mean hospitalization was 4.6 days (range: 4-6 days). Mean follow-up was 18 months. No stent-graft-related complications were observed.
Conclusions:
Endovascular repair for isolated infrarenal abdominal aortic dissecting aneurysms is feasible and effective.
