Stent graft implantation combined with coil embolization and external-internal iliac artery bypass surgery: report of a case.
A 73-year-old male patient was found to have an abdominal aortic aneurysm complicated with bilateral common iliac artery aneurysms. He also had hepatitis C, chronic liver cirrhosis (Child-Pugh class B), a rupture of esophageal varices, hepatocellular carcinoma, and intractable ascites. The functions of other systemic organs were also impaired. We first performed a right internal iliac artery coil embolization prior to stent graft implantation combined with a left external-internal iliac artery bypass. These additional procedures allowed for safe treatment with stent graft implantation, without any serious complications.
Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, 6-11-1 Omorinishi, Ota-ku, Tokyo, 143-8541, Japan.
Takeshiro
T
Fujii
Tsukasa
T
Ozawa
Satoshi
S
Hamada
Hiroshi
H
Masuhara
Chikao
C
Teramoto
Masanori
M
Hara
Tomoyuki
T
Katayanagi
Yuki
Y
Sasaki
Nobuya
N
Koyama
Yoshinori
Y
Watanabe
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D017543:Iliac Aneurysm / Q000150:complications / Q000628:therapy*; D007083:Iliac Artery / Q000473:pathology*; D008297:Male; D012307:Risk Factors; D015607:Stents