Endovascular stent grafts as a safe secondary option for para-anastomotic abdominal aortic aneurysm.
OBJECTIVE
To describe our experience of endovascular repair of para-anastomotic aortic aneurysm.


RESULTS
From March 2001 to December 2004 we identified 6 patients with a para-anastomotic aortic aneurysms following previous open repair of abdominal aortic aneurysm. All patients were treated with endovascular surgery under epidural anaesthesia. There were no major complications, surgical conversions or deaths. Four patients received a bifurcated aortic stent-graft, and two an aorto-uniliac stent-graft followed by a femoro-femoral bypass. At follow-up (mean 26.1+/-10.2 months) there were no deaths, endoleaks or graft migrations observed.


CONCLUSIONS
Endovascular surgery, avoiding general anesthesia and re-laparotomy, is the ideal technique for treatment of this complication resulting from failed primary conventional AAA repair.
Di Tommaso
L
L
Department of Cardiac Surgery, University Federico II of Naples, Italy. lditommaso@tin.it
Monaco
M
M
Piscione
F
F
Sarno
G
G
Iannelli
G
G
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D017130:Angioplasty; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation; D012720:Severity of Illness Index; D015607:Stents; D013997:Time Factors; D017211:Treatment Failure; D016896:Treatment Outcome