EJVES Extra
Volume 18, Issue 2 , Pages 26-28 , August 2009

Emergency Visceral Hybrid Procedure for Ruptured Thoraco-Abdominal Aortic Aneurysms: A Case Report

  • E.M. von Meyenfeldt

      Affiliations

    • Department of Vascular Surgery, Academic Medical Center, Amsterdam, The Netherlands
    • ,
  • J.M. Schnater

      Affiliations

    • Department of Vascular Surgery, Academic Medical Center, Amsterdam, The Netherlands
    • ,
  • J.A. Reekers

      Affiliations

    • Department of Radiology, Academic Medical Center, Amsterdam, The Netherlands
    • ,
  • R. Balm

      Affiliations

    • Department of Vascular Surgery, Academic Medical Center, Amsterdam, The Netherlands
    • Corresponding Author InformationCorresponding author. EM von Meyenfeldt. Department of Surgery, G4-107, Academic Medical Center, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands. Tel.: +31 20 5667832; fax: +31 20 5669432.

Received 9 March 2009 ,Accepted 10 March 2009.

  • Image Result

    Ruptured type IV thoraco-abdominal aneurysm with haematoma surrounding the aneurysm and leakage at the anterior side of the aneurysm.

    Ruptured type IV thoraco-abdominal aneurysm with haematoma surrounding the aneurysm and leakage at the anterior side of the aneurysm.

  • Image Result

    (a) Coronal reconstruction showing the aneurysm with the surrounding haematoma and the left renal (LR) and right renal (RR) artery. (b) Saggital reconstruction showing the haematoma (H) and the coelia

    (a) Coronal reconstruction showing the aneurysm with the surrounding haematoma and the left renal (LR) and right renal (RR) artery. (b) Saggital reconstruction showing the haematoma (H) and the coeliac trunk (CT) and superior mesenteric artery (SMA).

  • Image Result
    Completion angiography of the visceral and renal bypasses. Bypasses originate from the right common iliac artery (RCI), separate branches to the common hepatic artery (CHA), right renal artery (RRA),

    Completion angiography of the visceral and renal bypasses. Bypasses originate from the right common iliac artery (RCI), separate branches to the common hepatic artery (CHA), right renal artery (RRA), left renal artery (LRA) and superior mesenteric artery (SMA). (The bypass to the SMA crosses anterior to the anastomosis of the bypass to the RRA.)

PII: S1533-3167(09)00011-9

doi: 10.1016/j.ejvsextra.2009.03.004

EJVES Extra
Volume 18, Issue 2 , Pages 26-28 , August 2009

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