Endovascular stent-graft repair for abdominal aortic aneurysm in a patient with cardiac and renal dysfunction.
This case report details our experience with endovascular stent-graft repair for an abdominal aortic aneurysm (AAA) in a patient who was previously treated by left ventricular remodeling for dilated cardiomyopathy. Renal dysfunction with an elevated creatinine level (1.59 mg/dl) was managed by reducing the dose of contrast medium utilizing intravascular ultrasonography. Using a Zenith AAA endovascular device, the aneurysmal sac was successfully excluded and was thrombosed. Endovascular stenting is a good treatment option for abdominal aneurysm repair in patients with poor heart function and renal impairment.
Department of Cardiovascular Surgery, and Cardiology, Nagara Medical Center, Gifu, 502-8558, Japan. handa-kcgh@umin.ac.jp
Nobuhiro
N
Handa
Shinji
S
Tomita
Masaaki
M
Kato
Ituki
I
Nishio
Masahiro
M
Asano
Yoichirou
Y
Ueno
D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000601:surgery; D003287:Contrast Media / Q000008:administration & dosage; D003952:Diagnostic Imaging; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008297:Male; D008875:Middle Aged; D015607:Stents
D003287:Contrast Media