TREATMENT POSSIBILITY FOR AAA OF THE VISCERAL BRANCHES REGION:(治疗可能性AAA内脏分支机构的地区).pdfVIP

TREATMENT POSSIBILITY FOR AAA OF THE VISCERAL BRANCHES REGION:(治疗可能性AAA内脏分支机构的地区).pdf

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TREATMENT POSSIBILITY FOR AAA OF THE VISCERAL BRANCHES REGION:(治疗可能性AAA内脏分支机构的地区)

Biomed. Papers 149(1), 165–168 (2005) 165 © P. Utíkal, M. Köcher, J. Koutná, P. Bachleda, P. Dráč, M. Černá, E. Buriánková , J. Herman TREATMENT POSSIBILITY FOR AAA OF THE VISCERAL BRANCHES REGION Petr Utíkala b c a a b , Martin Köcher , Jiřina Koutná , Petr Bachleda , Petr Dráč , Marie Černá , Eva Buriánkováb , Jiří Hermana a 2nd Clinic of Surgery, Teaching Hospital, Olomouc, Czech Republic e-mail petr.utikal@fnol.cz b Clinic of Radiology, Teaching Hospital, Olomouc c Clinic of Anestesiology, Teaching Hospital, Olomouc Received: May 12, 2005; Accepted: June 21, 2005 Key words: Aorta/Aneurysms/Morphology/Repair/Endovascular/Stent-graft/Visceral branches/Revascularisation/Combined strategy The authors describe a promising abdominal aortic aneurysm treatment – a combined endovascular/surgical ap- proach – used in two cases of aneurysm taking the aortic visceral branches region. INTRODUCTION Patient No 1. A man of 61, with AAA of the aortic visceral branch- Fatal prognosis and unsatisfactory urgent surgery re- es region. There was one anatomical anomaly – the he- sults lead to the tendency for elective treatment of all ab- patic artery arising from the superior mesenteric artery dominal aortic aneurysms (AAA)1–3. Today, we have two (Fig. 1 A, B). It was an advantage in this case and saved basic possibilities of repairing AAA – conventional open us one bypass. The first part of the AAA repair was the 4–6 surger

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