title: Treatment of abdominal aortic anastomotic pseudoaneurysm with percutaneous coil embolization.
abstract: Intraabdominal anastomotic pseudoaneurysms continue to be a late complication of aortic reconstructive procedures. Early surgical repair is critical but is associated with high operative mortality rates. We present a patient who was diagnosed with a distal anastomotic pseudoaneurysm 13 months after transabdominal repair of a symptomatic abdominal aortic aneurysm. Because of the poor operative risk, the patient was considered for a less invasive approach and underwent coil embolization of the abdominal aortic anastomotic pseudoaneurysm. The patient remains without recurrence of pseudoaneurysm 3.5 years later.
authors.affiliation: Department of Cardiothoracic Surgery, Division of Vascular Surgery Stanford University Medical Center, VA Palo Alto HCS, 94305, USA. jfann@stanford.edu
authors.forename: James I
authors.initials: JI
authors.lastname: Fann
authors.forename: Shaun
authors.initials: S
authors.lastname: Samuels
authors.forename: Suzanne
authors.initials: S
authors.lastname: Slonim
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Burdon
authors.forename: Ronald L
authors.initials: RL
authors.lastname: Dalman
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011237:Predictive Value of Tests; D011859:Radiography; D012680:Sensitivity and Specificity; D013997:Time Factors