ArticleCurrent medical imaging2025
A Complex Case of Highly Tortuous Abdominal Aorta Complicated with Infrarenal Aortoiliac Aneurysm.
Article in Current medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAneurysms, characterized by localized dilatation involving all three layers of the vascular wall, pose significant risks, with abdominal aortic aneurysm (AAA) being prevalent, particularly among the elderly. However, the cooccurrence of AAA with abdominal tortuous aorta (ATA) remains exceptionally rare. CASE REPORT: We present the case of a 63-year-old male with an AAA extending into the iliac arteries, accompanied by ATA. Computed tomography revealed complex structural abnormalities, necessitating immediate surgical intervention. Due to the anatomical complexities, endovascular repair was not feasible, leading to a successful aortobifemoral bypass surgery using the Piljic method. The patient recovered well postoperatively, highlighting the efficacy of the chosen approach.
conclusionWhile AAA is often treated with endovascular repair, ATA complicates this approach, underscoring the need for open surgery in such cases. Research on aortic tortuosity's role in rupture prediction and stress alleviation shows varied findings, necessitating additional studies. ATA may also hinder vascular catheter insertion, requiring alternative routes for interventions. Future research is imperative to develop tailored treatment strategies for patients with concurrent AAA and ATA, ensuring optimal outcomes.
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