title: Retrograde endovascular treatment of internal iliac aneurysm in a patient with Marfan syndrome.
abstract: To report a technique to maintain pelvic flow to an internal iliac artery (IIA) with aneurysm in a patient with Marfan syndrome, and previously treated by infrarenal abdominal aortic aneurysm open procedure. Retrograde endovascular hypogastric artery preservation (REHAP) through flexible endograft implantation from external iliac artery (EIA) to internal iliac artery (IIA) was used. REHAP was a reasonable, minimally invasive and elegant alternative (new) to maintain pelvic arterial flow in Marfan syndrome. However, the long-term durability is unknown, and so, it should be used in selected patients.
authors.affiliation: Department of Vascular and Endovascular Surgery, Botucatu School of Medicine, São Paulo State University UNESP, Botucatu, SP, Brazil. ricardoyoshida@gmail.com
authors.forename: Ricardo de Alvarenga
authors.initials: Rde A
authors.lastname: Yoshida
authors.forename: Winston Bonetti
authors.initials: WB
authors.lastname: Yoshida
authors.forename: Ralf
authors.initials: R
authors.lastname: Kolvenbach
authors.forename: Lazlo
authors.initials: L
authors.lastname: Pinter
authors.forename: Paulo Roberto Bahdur
authors.initials: PR
authors.lastname: Vieira
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000209:etiology / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D017543:Iliac Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D008875:Middle Aged; D012039:Regional Blood Flow; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome