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Int J Angiol
DOI: 10.1055/s-0044-1786509
Case Report

Endovascular Aneurysm Repair (EVAR) in Rupture of the Infrarenal Abdominal Aortic Aneurysm (AAA) with Severe Neck Angulation in Conscience of National Health Coverage in Tertiary Referral Hospital in Indonesian: Case Report

Nyityasmono T. Nugroho 
1   Department of Vascular Surgery, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, Indonesia
,
Ryoga Primananda
1   Department of Vascular Surgery, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, Indonesia
,
R. Mohamad Javier
1   Department of Vascular Surgery, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, Indonesia
,
Ihza Fachriza
1   Department of Vascular Surgery, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, Indonesia
,
Raden Suhartono
1   Department of Vascular Surgery, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo National Central Public Hospital, Jakarta, Indonesia
› Author Affiliations Funding None.
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Abstract

An aortic aneurysm is a condition with focal dilation of 50% or more over the normal aortic diameter. The most frequent form of aortic aneurysms is infrarenal. Endovascular aortic aneurysm repair is a valid treatment for treating patients with abdominal aortic aneurysm. Abdominal aortic aneurysms (AAAs) are electively repaired to prevent rupture. We present a case of an elderly man with an impending rupture of intraluminal infrarenal AAA with bilateral common iliac arteries aneurysms. Overall, the patient had completed the procedure and made a good postoperative recovery with fully coverage of Indonesian national health insurance.

Keywords

aortic aneurysm - infrarenal - endovascular repair - severe neck angulation - national health insurance - Indonesia


Publication History

Article published online:
13 May 2024

© 2024. International College of Angiology. This article is published by Thieme.

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  • References

  • 1 Fujimiya T, Seto Y, Ishida K, Takase S, Satokawa H, Yokoyama H. Impending rupture of abdominal aortic aneurysm due to spontaneous obstruction of aortocaval fistula after endovascular abdominal aortic aneurysm repair. J Vasc Surg Cases Innov Tech 2021; 7 (02) 219-222
    CrossrefPubMedGoogle Scholar
  • 2 Hensley SE, Upchurch GR. Repair of abdominal aortic aneurysms: JACC Focus Seminar, Part 1. J Am Coll Cardiol Elsevier Inc 2022; 80: 821-831
    CrossrefPubMedGoogle Scholar
  • 3 Chatterjee T, Qasem A, Piening NM, Patel G. A case of gigantic unruptured abdominal aneurysm successfully treated with endovascular repair (EVAR). Ann Intern Med Clin Cases 2023; 2 (01) 1-3
    PubMedGoogle Scholar
  • 4 Hołda MK, Iwaszczuk P, Wszołek K. et al. Coexistence and management of abdominal aortic aneurysm and coronary artery disease. Cardiol J 2020; 27 (04) 384-393
    CrossrefPubMedGoogle Scholar
  • 5 Isselbacher EM, Preventza O, Hamilton Black III J. et al; Peer Review Committee Members. ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on clinical practice guidelines. Circulation 2022; 146 (24) e334-e482
    CrossrefPubMedGoogle Scholar
  • 6 Lee S, Ko YG, Choi D, Lee DY. A case of abdominal aortic aneurysm with short angulated proximal neck treated with the chimney graft technique. Korean Circ J 2013; 43 (06) 416-421
    CrossrefPubMedGoogle Scholar
  • 7 Chatterjee T, Qasem A, Piening NM. et al. A case of gigantic unruptured abdominal aneurysm successfully treated with endovascular repair (EVAR). AIM Clin Cases 2023; 2: e220921
    CrossrefPubMedGoogle Scholar
  • 8 Kim M, Han JH, Kim DH, Yoon M, Jung HJ. Simultaneous endovascular aneurysm repair for abdominal aortic aneurysm combined with saccular thoracic aortic aneurysm. Vasc Spec Int 2023; 39: 29
    CrossrefPubMedGoogle Scholar
  • 9 Guo X, Han X, Liu G, Li T. Case report of type IIIa endoleak after endovascular aortic repair. Vasc Investig Ther 2022; 5 (02) 54-54
    CrossrefPubMedGoogle Scholar
  • 10 Wanhainen A, Verzini F, Van Herzeele I. et al; Esvs Guidelines Committee. Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 clinical practice guidelines on the management of abdominal aorto-iliac artery aneurysms. Eur J Vasc Endovasc Surg 2019; 57 (01) 8-93
    CrossrefPubMedGoogle Scholar
  • 11 Qayyum H, Hansrani V, Antoniou GA. Prognostic role of severe infrarenal aortic neck angulation in endovascular aneurysm repair. Eur J Vasc Endovasc Surg 2021; 62 (03) 409-421
    CrossrefPubMedGoogle Scholar
  • 12 Oliveira NFG, Bastos Gonçalves FM, de Vries JPPM. et al. Mid-term results of EVAR in severe proximal aneurysm neck angulation. Eur J Vasc Endovasc Surg 2015; 49 (01) 19-27
    CrossrefPubMedGoogle Scholar
  • 13 Zeng Q, Huang L, Huang X, Peng M. Endovascular repair of abdominal aortic aneurysm with severely angulated neck and tortuous artery access: case report and literature review. BMC Surg 2015; 15 (01) 20
    CrossrefPubMedGoogle Scholar
  • 14 Silingardi R, Tasselli S, Gennai S, Saitta G, Coppi G. Thoracic endograft for abdominal aortic aneurysms, an unusual application for severe neck angulation: case report and literature review. Vascular 2010; 18 (02) 102-105
    CrossrefPubMedGoogle Scholar
  • 15 Bernardini G, Litterscheid S, Torsello GB, Torsello GF, Beropoulis E, Özdemir-van Brunschot D. A meta-analysis of safety and efficacy of endovascular aneurysm repair in aneurysm patients with severe angulated infrarenal neck. PLoS One 2022; 17 (02) e0264327-e0264327
    CrossrefPubMedGoogle Scholar
  • 16 Roth GA, Mensah GA, Johnson CO. et al; GBD-NHLBI-JACC Global Burden of Cardiovascular Diseases Writing Group. Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: update from the GBD 2019 Study. J Am Coll Cardiol 2020; 76 (25) 2982-3021
    CrossrefPubMedGoogle Scholar
  • 17 Shih CW, Ho ST, Shui HA. et al. Endovascular aortic repair is a cost-effective option for in-hospital patients with abdominal aortic aneurysm. J Chin Med Assoc 2021; 84 (09) 890-899
    CrossrefPubMedGoogle Scholar
  • 18 Gunardi F, Oktamianti P, Edi P, Hanafy DA. Strengthening the marketing of pediatric cardiac surgery services to support the transformation of health services in Indonesia. J Indonesian Health Pol Adminis 2023; 8 (02) 46-54
    PubMedGoogle Scholar