Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair

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 sten...

Descripción completa

Detalles Bibliográficos
Autores principales: Jungi, Silvan, Sangalli, Zoe, Schmidli, Jürg, Makaloski, Vladimir
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339120/
https://www.ncbi.nlm.nih.gov/pubmed/34381932
http://dx.doi.org/10.1016/j.jvscit.2021.06.002
_version_ 1783733530945126400
author Jungi, Silvan
Sangalli, Zoe
Schmidli, Jürg
Makaloski, Vladimir
author_facet Jungi, Silvan
Sangalli, Zoe
Schmidli, Jürg
Makaloski, Vladimir
author_sort Jungi, Silvan
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8339120
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-83391202021-08-10 Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair Jungi, Silvan Sangalli, Zoe Schmidli, Jürg Makaloski, Vladimir J Vasc Surg Cases Innov Tech Case report 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. Elsevier 2021-07-01 /pmc/articles/PMC8339120/ /pubmed/34381932 http://dx.doi.org/10.1016/j.jvscit.2021.06.002 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case report
Jungi, Silvan
Sangalli, Zoe
Schmidli, Jürg
Makaloski, Vladimir
Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair
title Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair
title_full Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair
title_fullStr Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair
title_full_unstemmed Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair
title_short Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair
title_sort surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8339120/
https://www.ncbi.nlm.nih.gov/pubmed/34381932
http://dx.doi.org/10.1016/j.jvscit.2021.06.002
work_keys_str_mv AT jungisilvan surgeonmodifiedfenestratedendovascularaorticrepairforrupturedanastomoticaneurysmafteropenthoracoabdominalrepair
AT sangallizoe surgeonmodifiedfenestratedendovascularaorticrepairforrupturedanastomoticaneurysmafteropenthoracoabdominalrepair
AT schmidlijurg surgeonmodifiedfenestratedendovascularaorticrepairforrupturedanastomoticaneurysmafteropenthoracoabdominalrepair
AT makaloskivladimir surgeonmodifiedfenestratedendovascularaorticrepairforrupturedanastomoticaneurysmafteropenthoracoabdominalrepair

Ejemplares similares