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- Edoardo Scarcello, Raffaele Serra, Francesco Morrone, Salvatore Tarsitano, Giuseppe Triggiani, and Stefano de Franciscis.
- Unit of Vascular and Endovascular Surgery, Annunziata Hospital, Cosenza, Italy.
- J. Vasc. Surg. 2012 Jul 1;56(1):208-11.
AbstractThe proximal aortic neck is one of the limiting factors for endovascular aneurysm repair (EVAR) and represents a crucial factor for success or failure of the procedure. In contrast to open surgery, where a clamp can be placed suprarenally but the repair performed infrarenally, EVAR requires a good infrarenal neck for durable fixation and seal. In a high-risk surgical 79-year-old patient with juxtarenal aortic aneurysm with unsuitable infrarenal neck, a hybrid procedure was chosen: juxtarenal aortic banding and EVAR. The banding allowed a successful EVAR by reshaping the juxtarenal aneurysmal aortic segment, hence converting a previously untreatable anatomy into a treatable one.Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
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