Author + information
- Received April 7, 2010
- Revision received April 21, 2010
- Accepted May 1, 2010
- Published online September 1, 2010.
- Yusuke Watanabe, MD⁎,⁎ (, )
- Haruo Aramoto, MD†,
- Ryuta Asano, MD⁎,
- Shinichi Furuichi, MD⁎,
- Tetsuya Sumiyoshi, MD⁎ and
- Shuichiro Takanashi, MD‡
- ↵⁎Reprint requests and correspondence:
Dr. Yusuke Watanabe, Department of Cardiology, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-city, Tokyo 183-0003, Japan
An 80-year-old man underwent elective endovascular repair for an infrarenal abdominal aortic aneurysm 65 mm in size.
Baseline angiography showed the normal renal arteries (Fig. 1A). Angiography after the endovascular graft implantation (Zenith, Cook, Inc., Bloomington, Indiana) revealed a narrowing of the left renal artery with persistent dye staining (Fig. 1B). Intravascular ultrasound (Eagle Eye, Volcano Co., San Diego, California) revealed a dissection flap with a compromised true lumen from the ostium of the artery (Figs. 2A and 2B). Subsequently, 2 stents (PALMAZ Genesis, Johnson & Johnson, Miami Lakes, Florida) were implanted to seal the entire dissection by left radial approach (Fig. 1C), and final angiography showed a good result without endoleak of the aortic stent graft (Fig. 1D).
The patient was discharged in stable condition 8 days after the procedure.
All authors have reported that they have no relationships to disclose.
- Received April 7, 2010.
- Revision received April 21, 2010.
- Accepted May 1, 2010.
- American College of Cardiology Foundation