Jungi, Silvan; Sangalli, Zoe; Schmidli, Jürg; Makaloski, Vladimir (2021). Surgeon-modified fenestrated endovascular aortic repair for ruptured anastomotic aneurysm after open thoracoabdominal repair. Journal of vascular surgery cases and innovative techniques, 7(3), pp. 484-487. Elsevier 10.1016/j.jvscit.2021.06.002
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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.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Heart Surgery |
UniBE Contributor: |
Jungi, Silvan, Schmidli, Jürg, Makaloski, Vladimir |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2468-4287 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Paul Libera |
Date Deposited: |
04 Jan 2022 09:12 |
Last Modified: |
27 Feb 2024 14:28 |
Publisher DOI: |
10.1016/j.jvscit.2021.06.002 |
PubMed ID: |
34381932 |
Uncontrolled Keywords: |
Aortic surgery Endovascular surgery Ruptured aneurysm |
BORIS DOI: |
10.48350/162099 |
URI: |
https://boris.unibe.ch/id/eprint/162099 |