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RESEARCH PRODUCT
Endograft connector technique to treat popliteal artery aneurysm in a morbid obese patient.
Felice PecoraroGaetano VitaleUmberto BracaleBellisi MGuido BajardiEttore Dinotosubject
Malemedicine.medical_specialtyPopliteal artery aneurysmmedicine.medical_treatmentFemoral arterySettore MED/22 - Chirurgia VascolareBlood Vessel Prosthesis ImplantationAneurysmfemoro-popliteal bypamedicine.arterymedicineHumansRadiology Nuclear Medicine and imagingPopliteal ArteryVascular PatencySurgical repairPopliteal artery aneurysm femoro-popliteal bypass sutureless anastomosisbusiness.industryAnastomosis SurgicalPopliteal artery aneurysmStentGeneral MedicineRight popliteal arteryMiddle Agedmedicine.diseaseAneurysmSurgerysutureless anastomosisFemoral ArteryStenosisTreatment OutcomeSurgeryStentsRadiologyCardiology and Cardiovascular MedicinebusinessLigationdescription
Surgical repair of popliteal artery aneurysm in morbid obese patients poses additional challenges. We report a morbid obese patient who had a 59 mm right popliteal artery aneurysm which was successfully treated with the endograft connector technique. This technique was used to perform the distal anastomosis of the below-knee femoro-popliteal bypass. A 10 mm Dacron graft was used as a main graft bypass and an 11 mm/10 cm stentgraft as endograft connector. Following the respective tunnel of the Dacron graft, an end-to-side proximal anastomosis was performed at distal femoral artery. The aneurysm exclusion was obtained through a proximal and a distal ligation. Postoperative duplex showed adequate bypass patency. Knee x-rays demonstrated no signs of stent kinking/fractures. The postoperative course was uneventful and the patient was discharged home on fourth day post operative. The six-month computed tomography scan and the 12-month duplex control showed a patent bypass with no signs of stenosis.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2015-01-01 | Vascular |