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

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)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Jungi, Silvan; Schmidli, Jürg and 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:

04 Jan 2022 09:21

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

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