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A Combined Endovascular and Open ‘‘Reverse Hybrid’’ Technique for Repair of Complex Juxtarenal Inflammatory Aortic Aneurysms

Division of Vascular Surgery, UCLA, Los Angeles, California

Juan Carlos Jimenez, MD

Division of Vascular Surgery, UCLA, Los Angeles, California, jcjimene{at}gmail.com

Peter Lawrence, MD

Division of Vascular Surgery, UCLA, Los Angeles, California

Hugh Gelabert, MD

Division of Vascular Surgery, UCLA, Los Angeles, California

Inflammatory abdominal aortic aneurysms (IAAA) can present significant challenges to surgeons, especially in the juxtarenal location where they may not be amenable to endovascular repair. The dense, inflammatory component of these lesions can encase adjacent structures including the duodenum, ureters, and inferior vena cava putting them at risk for injury during open exposure. We report a novel ‘‘reverse hybrid’’ technique using a combined endovascular and open approach for repair of large, juxtarenal IAAA’s.

Key Words: inflammatory aneurysm • abdominal aortic aneurysm • hybrid • extraanatomic bypass • embolization

Vascular and Endovascular Surgery, Vol. 43, No. 5, 494-496 (2009)
DOI: 10.1177/1538574409335036


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