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General Thoracic and Cardiovascular Surgery

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01-04-2017 | Case Report

Endovascular treatment of large and wide aortic neck: case report and literature review

Authors: Felice Pecoraro, David Pakeliani, Ettore Dinoto, Guido Bajardi

Published in: General Thoracic and Cardiovascular Surgery | Issue 4/2017

Abstract

Large (24–34 mm) and wide (≥35 mm) aortic necks are a contraindication to endovascular aneurysm repair (EVAR). A 63-year-old man, unfit for conventional surgery, presented a 79 mm abdominal aortic aneurysm with 36.5 mm aortic neck and a 62 mm right common iliac artery aneurysm. He was treated endovascularly with standard commercially available stent-graft using the so-called ‘funnel technique’; by placing a thoracic stent-graft inside a bifurcated device to achieve proximal sealing. The completion angiography and the 6 months follow-up with computed tomography showed no stent-graft migration, limb occlusion or endoleak. The literature review reported 179 cases of large aortic neck managed with EVAR, all cases treated with standard devices. Conversely a wide aortic neck was reported in 9; in 2 cases were employed custom-made devices and in 7 standard stent-graft. The use of EVAR with commercially available stent-grafts is feasible and it represents an option especially in non-elective setting.

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Title: Endovascular treatment of large and wide aortic neck: case report and literature review
Authors: Felice Pecoraro
David Pakeliani
Ettore Dinoto
Guido Bajardi
Publication date: 01-04-2017
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 4/2017
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-016-0627-2

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Endovascular treatment of large and wide aortic neck: case report and literature review

Abstract

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Abstract

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