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Updated: Jun 24, 2025
07:04
Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
Published on: April 15, 2021
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Multiple giant intercostal and lumbar artery aneurysms.
Vincenzo Vento1,2, Luca Felici1, Paolo Berretta3
1Vascular Surgery Unit, Aortic Team, Lancisi Cardiovascular Center, Ancona, Italy.
Summary
Managing complex thoraco-abdominal aortic aneurysms requires a staged approach. This case report details successful surgical ligation and endovascular embolization for multiple aneurysms, minimizing risks.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Aortic Pathology
Background:
- Managing complex thoraco-abdominal aortic aneurysms (TAAA) presents significant challenges, especially with prior aortic surgeries and comorbidities.
- Multiple intercostal and lumbar aortic aneurysms represent a rare and high-risk clinical scenario.
Observation:
- A 49-year-old male with a history of aortic surgeries presented with multiple intercostal and lumbar aortic aneurysms.
- The patient required emergent surgical repair for a ruptured lumbar aneurysm.
Findings:
- A multidisciplinary team approach was employed, utilizing staged interventions including surgical ligation and endovascular embolization.
- This strategy aimed to mitigate risks, particularly spinal cord ischemia, and optimize patient outcomes.
- Successful management of complex aortic pathology was achieved through a carefully planned, staged treatment protocol.
Implications:
- This case highlights the critical role of multidisciplinary collaboration in managing rare and complex aortic diseases.
- Staged interventions can be effective in reducing morbidity and mortality associated with TAAA.
- Close patient follow-up is essential for long-term management and surveillance of aortic pathologies.
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