Rabellino M, Moltini PN, Di Caro VG, Chas JG, Marenchino R, Garcia-Monaco RD. Endovascular treatment of paravisceral mycotic aneurysm: Chimmeny endovascular sealing the end of de road. World J Cardiol 2017; 9(7): 629-633 [PMID: 28824793 DOI: 10.4330/wjc.v9.i7.629]
Corresponding Author of This Article
Martin Rabellino, MD, Interventional Radiologist, Department of Interventional Radiology, Italian Hospital of Buenos Aires, J. Peron 4190, City Autonomous of Buenos Aires 1181, Argentina. Jmrabellino@hotmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Jul 26, 2017; 9(7): 629-633 Published online Jul 26, 2017. doi: 10.4330/wjc.v9.i7.629
Endovascular treatment of paravisceral mycotic aneurysm: Chimmeny endovascular sealing the end of de road
Martin Rabellino, Pedro N Moltini, Vanesa G Di Caro, Jose G Chas, Ricardo Marenchino, Ricardo D Garcia-Monaco
Martin Rabellino, Pedro N Moltini, Vanesa G Di Caro, Ricardo D Garcia-Monaco, Department of Interventional Radiology, Hospital Italiano de Buenos Aires, Ciudad Autonoma de Buenos Aires 1181, Argentina
Jose G Chas, Ricardo Marenchino, Department of Cardiovascular Surgery, Hospital Italiano de Buenos Aires, Ciudad autónoma de Buenos Aires 1181, Argentina
Author contributions: All authors contributed to the acquisition of data, writing, and revision of this manuscript.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards at Hospital Italiano of Buenos Aires.
Informed consent statement: The patient involved in this study gave her written informed consent authorizing use and disclosure of her protected health information.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Martin Rabellino, MD, Interventional Radiologist, Department of Interventional Radiology, Italian Hospital of Buenos Aires, J. Peron 4190, City Autonomous of Buenos Aires 1181, Argentina. Jmrabellino@hotmail.com
Telephone: +54-11-49590453 Fax: +54-11-49590471
Received: November 8, 2016 Peer-review started: November 10, 2016 First decision: March 7, 2017 Revised: April 19, 2017 Accepted: May 3, 2017 Article in press: May 5, 2017 Published online: July 26, 2017 Processing time: 260 Days and 14.1 Hours
Abstract
Open surgery is the elective treatment for mycotic aneurysms of the aorta. This surgery consists of resection of the aneurysm, debridement and revascularization with an in situ or extra-anatomic bypass. Even when surgery has been successful, the morbi-mortality is raised and the endovascular treatment has become an alternative for specific patients. When mycotic aneurysms involved the visceral arteries, more complex techniques are necessary such as fenestrated endovascular aortic repair or chimmeny endovascular aortic repair and the most frequent complications of this are endoleaks and oclussion the visceral arteries. We present a case of a pacient with a paravisceral abdominal mycotic aneurysms that was result with 2 chimney technique (in the right renal and superior mesenteric arteries) and a single Nellix EVAS (Endologix, Irvine, Calif) of 12 cm long without evidence of endoleaks in the follow-up.
Core tip: The interesting of the case that we present is the resolution of the mycotic aneurysms throw a new techniques calls chimmeny endovascular sealing (Ch-EVAS). This case it would be the first case treated with Ch-EVAS that has been reported since in the bibliographical review that we made we do not find cases of paravisceral abdominal mycotic aneurysms treated with this technology.
