Repair of multiple abdominopelvic aneurysms: is the open approachstill valid? A case report

W Samir Cubas; Franco Albán-Sánchez; Milagros Salazar-Cuizano; Johnny Mayta-Rodríguez; Carlos Pachas-Canales; Hugo León; Alexis Sánchez-Huamán; Jessica Pedroza-Silvera; Ninach Muñante- Nima

doi:10.47487/apcyccv.v5i4.415

Authors

W Samir Cubas Vascular and Endovascular Service, Department of Thoracic and Cardiovascular Surgery, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0000-0002-5380-7372
Franco Albán-Sánchez Vascular and Endovascular Service, Department of Thoracic and Cardiovascular Surgery, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0009-0008-8183-7852
Milagros Salazar-Cuizano Vascular and Endovascular Service, Department of Thoracic and Cardiovascular Surgery, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0009-0007-5981-2360
Johnny Mayta-Rodríguez Vascular and Endovascular Service, Department of Thoracic and Cardiovascular Surgery, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0000-0002-9896-7089
Carlos Pachas-Canales Vascular and Endovascular Service, Department of Thoracic and Cardiovascular Surgery, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0000-0002-4633-4618
Hugo León Specialized Urology Service, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0000-0003-1145-9629
Alexis Sánchez-Huamán Specialized Urology Service, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0000-0002-7322-1854
Jessica Pedroza-Silvera Department of Anesthesiology, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0000-0003-1372-5273
Ninach Muñante- Nima Surgical Center, Hospital Nacional Edgardo Rebagliati Martins, Lima, Peru. https://orcid.org/0009-0003-2488-9473

DOI:

https://doi.org/10.47487/apcyccv.v5i4.415

Keywords:

Aneurysm, Vascular Surgical Procedures, Vascular Graft

Abstract

Multiple Aneurysmal Arterial Disease (MAD) is an extremely rare arterial vascular condition and is produced by an abnormal alteration of smooth muscle cells and neutrophils, producing a multiple-aneurysmal degeneration. We present the case of a 36-year-old patient with a MAD in the cerebral territory and extremities with no surgical indication; however, with an aneurysm of the right inferior renal segmental artery, inferior mesenteric artery, left common iliac artery, and right internal iliac artery with surgical indication. An open approach with single-stage surgical repair, including graft interposition, bypass, exclusion, and vascular reimplantation, was performed. The surgical and postoperative course was uneventful, and the patient was discharged with an indication for outpatient follow-up. The open approach may be the best option for young patients with MAD, especially in the abdominopelvic region, without the need for high resources, with satisfactory results and improved patient survival.

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