Endovascular approach for isolated common iliac aneurysm and severe kyphoscoliosis.
Relato de caso de paciente de 72 anos com aneurisma isolado de artéria ilíaca comum, associado a oclusão da ilíaca comum contralateral e cifoescoliose grave.
O risco para cirurgia aberta era alto em razão de doença pulmonar obstrutiva crônica. O tratamento escolhido foi endovascular, com endoprótese aortomonoilíaca seguida de bypass femorofemoral cruzado.
O caso ilustra a utilidade da abordagem minimamente invasiva e sua viabilidade mesmo diante de anatomia difícil.
Abstract
We report the case of a 72-year-old patient presenting with an isolated common iliac aneurysm with occlusion of contralateral common iliac artery and severe kyphoscoliosis. Because of high risk for open surgery due to chronic obstructive pulmonary disease, this patient was treated with an endovascular approach using an aortomonoiliac stent graft, followed by a femoro-femoral crossover bypass. This report illustrates the usefulness of a minimally invasive approach, and feasibility even for patients with difficult anatomy.
Original abstract as published in Jornal Vascular Brasileiro.