The management of juxta-renal abdominal aortic aneurysms (AAA) is challenging. Open surgical repair is associated with significant morbidity (predominantly renal) and the absence of an adequate length of normal infra-renal aorta precludes the placement of a standard endograft. In high-risk patients who are unsuitable for standard open repair the endovascular options include fenestrated or branched stent grafts, which are complex, expensive and not widely available, especially in the acute setting. In this report, we describe a case of a hybrid endovascular graft utilising a spleno-renal bypass to facilitate the supra-renal fixation of an aorto-bi-iliac endovascular stent graft in a high-risk patient.
|Number of pages||3|
|Journal||European Journal of Vascular and Endovascular Surgery|
|Publication status||Published - Apr 2008|
- Aortic Aneurysm, Abdominal
- Blood Vessel Prosthesis Implantation
- Renal Artery
- Splenic Artery