Aneurisma de aorta abdominal justa-renal: correˋˋo endovascular combinada com derivaˋˋo il赤aco-renal direita para criar colo proximal adequado

作者：Bredarioli; Matheus; Dalio; Marcelo Bellini; Bezerra; Cleber Aparecido Pita; Piccinato; Carlos Eli; Cherri; Jesualdo

来源：Jornal Vascular Brasileiro, 2007.

DOI：10.1590/S1677-54492007000200015

• abdominal aortic aneurysm
• surgery
• vascular graft
• endovascular
• renal artery.

a 78-year-old man with a juxtarenal abdominal aortic aneurysm and several comorbid conditions was admitted at the emergency room in hemodynamically stable conditions. computed tomography revealed an aneurysm measuring 6 cm in diameter beginning 28 mm below the left renal artery and 5 mm below the right renal artery. because of the patient%26apos;s clinical status, a bypass from the right iliac artery to the right renal artery was performed through a retroperitoneal approach using a polytetrafluoroethylene vascular graft. four days later, an endovascular aneurysm repair was successfully performed using an excluderˋ stent-graft. postoperative follow-up showed good left renal perfusion and no migration or endoleak. this case illustrates the effectiveness of combining open and endovascular techniques to repair juxtarenal abdominal aortic aneurysm in high-risk patients with unfavorable anatomy.