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 VS3. Removal of Suprarenal Fixing Aortic Stent Graft and In Situ Aorto-Iliac Reconstruction for a Patient with Aortic Stent Graft Infection After EVAR

​Young-Wook Kim, Shin-Seok Yang, Yang Jin Park, Keun-Myoung Park, Dong-Ik Kim
Division of Vascular Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Republic of Korea.

BACKGROUND: Stent graft infection is a rare but serious complication in patients who underwent endovascular aortic aneurysm repair. Particularly removal of suprarenal fixing stent graft carries risk of aortic or renal artery injury. There have been reported several options of aortic reconstruction after successful removal of infected device.

TECHNICAL DESCRIPTION:

  1. Exposure of aorta and proximal and distal control.
  2. Removal of aortic stent graft with syringe technique which include preparation of syringe, exposure of stent graft, removal of stent graft.
  3. Preparation of cryopreserved aortic and arterial allografts: thawing and rinsing of cryopreserved arterial allografts, composition of allografts to make bifurcated aortic graft.
  4. In situ aortic reconstruction: aorto-iliac reconstruction and graft omentum wrapping of the grafts

AUTHOR DISCLOSURES: D. Kim, Nothing to disclose; Y. Kim, Nothing to disclose; K. Park, Nothing to disclose; Y. Park, Nothing to disclose; S. Yang, Nothing to disclose.

Posted April 2012

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