Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2016 , Vol 25 , Issue 3
Chimney Grafts for a Juxtarenal Aneurysm in an Octogenarian Patient with Left Main Coronary Artery Disease and Symptomatic Carotid Stenosis: Case Report
Celalettin KARATEPE1, Bayer ÇINAR2, Yavuz ENÇ2, Helin EL3, Onur S. GÖKSEL3
1Department of Cardiovascular Surgery, Mustafa Kemal University Faculty of Medicine, Hatay
2Clinic of Cardiovascular Surgery, Medical Park Hospital, Gebze
3Department of Cardiovascular Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul
DOI : 10.9739/uvcd.2014-40701 Patients with juxtarenal aneurysms (JAA) require a complex surgical open repair which is associated with increased mortality and morbidity. The chimney procedure has been developed as an easy-to-use method. We present an octogenarian patient with a JAA, unstable angina with severe stenosis of the left main coronary artery, left iliac artery occlusion and symptomatic carotid artery stenosis. He was treated with staged chimney grafts and aorto-uni-iliac stent-grafting in addition to left axillo-femoral bypass following an urgent combined coronary and carotid procedure. He was discharged from hospital on postoperative day 10 without any complications. Chimney grafts are an attractive alternatives in complex situations due to flexibility of this technique, much shorter procedural durations and lack of requirement for custom-built devices. Keywords : Juxtarenal aneurysm; chimney grafts; octogenarian
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