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Aortic polyaneurysmal disease: case report.
Lucas Alvarez García1, Paula Vidal Fernández1, Miguel Felipe García Gimeno1
1Department of Angiology and Vascular/Endovascular Surgery, San Pedro Hospital, Logroño, La Rioja, Spain.
Journal of Thoracic Disease
|June 16, 2017
Summary
This case study details a 78-year-old man with progressive aortic aneurysms 20 years after initial surgery. Treatment involved staged endovascular repair of thoracic, infrarenal, and iliac aortic aneurysms.
Area of Science:
- Vascular Surgery
- Cardiovascular Imaging
- Endovascular Interventions
Background:
- A 78-year-old male with a history of abdominal infrarenal aortic surgery presented with recurrent and progressive aneurysmatic disease.
- Long-term surveillance is crucial for patients with prior aortic interventions.
Observation:
- Computed tomography (CT) scans revealed proximal infrarenal aortic degeneration, a left iliac artery aneurysm, and a new descending thoracic aortic aneurysm near the aortic arch.
- The patient's complex pathology necessitated a staged surgical approach.
Findings:
- The initial stage involved endovascular repair of both the descending thoracic and infrarenal aortic aneurysms using endoprostheses.
- Four years post-initial intervention, a branched endograft was successfully deployed to address the iliac artery aneurysm.
Implications:
- This case highlights the potential for late-onset, multi-segment aortic aneurysm progression after initial aortic surgery.
- Staged endovascular repair can be a viable strategy for managing complex, evolving aortic pathologies.
- Long-term follow-up is essential to monitor for new aneurysms or degeneration in previously treated segments.
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