(1) Department of Cardiovascular Surgery, and Cardiology, Nagara Medical Center, 1300-7 Nagara, Gifu, Gifu 502-8558, Japan;(2) Department of Cardiovascular Surgery, Morinomiya Hospital, Osaka, Japan
Abstract:
This case report details our experience with endovascular stent-graft repair for an abdominal aortic aneurysm (AAA) in a patient who was previously treated by left ventricular remodeling for dilated cardiomyopathy. Renal dysfunction with an elevated creatinine level (1.59 mg/dl) was managed by reducing the dose of contrast medium utilizing intravascular ultrasonography. Using a Zenith AAA endovascular device, the aneurysmal sac was successfully excluded and was thrombosed. Endovascular stenting is a good treatment option for abdominal aneurysm repair in patients with poor heart function and renal impairment.