Keywords
hybrid treatment
juxtarenal aneurysm
hepatorenal bypass CARTA CIENTÍFICA TRATAMIENTO HÍB RIDO DE ANEURISMA YUXTARRENAL AÓRTICO EL CIRUJANO VASCULAR Y EL DOMINIO DE LAS OPCIONES TERAPÉUTICAS Hybrid treatment of juxtarenal aortic aneurysm The vascular surgeon and his knowledge of therapeutic options Recibido:
How to Cite
Abstract
The management of juxtarenal aneurysms is challenging. In general, the indication for endovascular repair often becomes complicated due to the anatomy and unfavorable characteristics of its proximal neck or because it compromises visceral arteries. In these cases, open surgery is associated with significant morbidity and mortality especially in the immediate postoperative period. In selected patients, visceral aortic debranching can improve the proximal aneurysm neck and facilitate endovascular exclusion. We present a clinical case of aortic juxtarenal aneurysm solved using a hybrid technique, hepatorenal bypass through conventional surgery, and endovascular repair in two surgical stages.
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