Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair.
Publisher DOI
PubMed ID
34381932
Abstract
We report the case of a 60-year-old female patient with a contained rupture of a proximal anastomotic pseudoaneurysm after previous open repair of a type IV thoracoabdominal aneurysm. A repeat open repair was considered to be too risky. We performed an urgent endovascular repair with a thoracic stent-graft and a surgeon-modified fenestrated aortic cuff with two fenestrations. The final angiogram and postoperative imaging studies showed complete aneurysm exclusion without any endoleak. Surgeon-modified fenestrated endovascular aortic repair is a feasible treatment option for emergency cases for which repeat open repair or custom-made complex endovascular repair is not an option.
Date Issued
2021-09
Publication Type
Article
Subject(s)
Subjects
Aortic surgery Endovascular surgery Ruptured aneurysm
Language(s)
en
Additional Credits
Journal
Journal of vascular surgery cases and innovative techniques
Publisher
Elsevier
ISSN
2468-4287
Access(Rights)
open.access