AI Article Synopsis
- Chronic thrombosis of abdominal aortic aneurysms (AAA) is rare, and the best treatment approach remains uncertain.
- A 74-year-old male with an enlarging thrombosed AAA underwent a successful endovascular procedure, which involved implanting a stent graft to improve blood flow.
- The patient experienced complete resolution of left leg symptoms post-surgery and demonstrated that endovascular treatment under local anesthesia is a viable option for high-risk individuals, though long-term outcomes require more study.
Article Abstract
Background: Chronic thrombosis of an abdominal aortic aneurysm (AAA) is a rare entity and the ideal management is debatable.
Methods And Results: A 74-year-old man presented with an enlarging chronically thrombosed AAA and incapacitating bilateral claudication, worse on the left side. We opted for an endovascular approach. Under local anesthesia and via a left axillary and left femoral cutdown, an aorto-uni-iliac stent graft (Endurant, Medtronic) was implanted down the left common iliac artery. A femorofemoral crossover bypass was not necessary because the right leg circulation was considered adequate on completion of the endovascular procedure. He had an uneventful recovery. His left leg symptoms were completely resolved and he was able to walk with only moderate right leg claudication after 300-400m.
Conclusions: Endovascular treatment of a chronically thrombosed AAA can be performed under local anesthesia and is a safe alternative to open surgery in high-risk patients. The long-term results need further investigation.
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| http://dx.doi.org/10.1016/j.avsg.2019.09.028 | DOI Listing |
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