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Cardiology Research and Practice
Volume 2010, Article ID 521326, 4 pages
http://dx.doi.org/10.4061/2010/521326
Case Report

Primary Stenting Immediatly after Surgery in Occluded Anastomoses of Aortoaortic Tube Graft: A Case Report

1Department of Endovascular Therapy, Hospital Hospiten Rambla, General Franco 115, 38001 Santa Cruz de Tenerife, Spain
2Department of Interventional Cardiology, Hospital Hospiten Rambla, General Franco 115, 38001 Santa Cruz de Tenerife, Spain
3Department of Cardiovascular Surgery, Hospital Hospiten Rambla, General Franco 115, 38001 Santa Cruz de Tenerife, Spain

Received 11 March 2010; Accepted 22 June 2010

Academic Editor: Jalal K. Ghali

Copyright © 2010 M. Rabellino et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The conventional elective open procedures for abdominal aortic aneurysm repair are reliable and yield durable results. The aortoaortic tube graft has the lowest morbidity incidence when compared with different techniques. Albeit infrequent, thrombosis can be present in the first 30 days. Its treatment consists in thrombectomy and anastomosis evaluation, but with an increase in morbidity, especially in patients with urgent reintervention. This is a case report of a patient with aortoaortic tube graft, who present critical left limb ischemia immediately after surgical procedure. Angiography showed complete occlusion of left common iliac artery, affecting the distal graft anastomosis. The occlusion was resolved with endovascular treatment, and a noncovered, self-expanding, nitinol stent was deployed (primary stenting) covering the distal bypass anastomosis, with no complications and complete lower limb perfusion recovery. One month later, the patient was still asymptomatic, with distal pulse palpable and ankle-brachial index 1.