Right retroperitoneal approach for repair of an abdominal aortic aneurysm involving bilateral iliac arteries in a patient with a left-side stoma after abdominoperineal resection.
A 78-year-old woman, who had a history of abdominoperineal resection with the associated left-side stoma for rectal cancer, was diagnosed with an infrarenal abdominal aortic aneurysm involving both common and right internal iliac arteries. She underwent in situ graft (bifurcated Dacron) replacement through a right retroperitoneal approach because of limited accessibility to the aorta and iliac arteries due to the left-side stoma. The distal anastomosis of the bifurcated graft was placed to the right external iliac artery and left femoral artery, and the left common iliac artery was excluded by ligating the branching arteries. The patient had an uneventful postoperative course, and the computed tomography scanning at 13 months after surgery revealed thrombosed occlusion of the excluded left common iliac aneurysm. In conclusion, a right retroperitoneal approach may be an option for abdominal aortic aneurysm patients who had a history of transperitoneal abdominal surgery and an associated left-side stoma.
Yamamoto
Hiroshi
H
Department of Cardiovascular Surgery, Akita University School of Medicine, Hondo, Akita, Japan.
Yamamoto
Fumio
F
Izumoto
Hiroshi
H
Yamaura
Gembu
G
Ishibashi
Kazuyuki
K
Shiroto
Keisuke
K
Motokawa
Mamika
M
Tanaka
Fuminobu
F
D000005:Abdomen / Q000601:surgery*; D000368:Aged; D000714:Anastomosis, Surgical; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008026:Ligation; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D012004:Rectal Neoplasms / Q000601:surgery*; D012187:Retroperitoneal Space / Q000601:surgery; D054047:Surgical Stomas; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D011093:Polyethylene Terephthalates