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DOI: 10.1055/s-0044-1785908
Fenestrated-Branch Endovascular Repair (FEVAR) for Para-anastomotic Huge Aortic Pesudoaneurysm
Authors
Case Presentation: Para-anastomotic pseudo-aneurysm after open abdominal aortic repair is a rare but fatal complication. Management is difficult and more challenging because of visceral and renal arteries involvement. A 66-year-old man admitted 10 years after open surgical repair of abdominal aortic aneurysm. History of MI and CABG 11 years ago. Patient has ICD with LVEF 20%. The aortic pseudo-aneurysm was 57 mm and standard EVAR or even double CHEVAR not possible due to juxta-renal pathology and short landing zone to SMA. T-Branch BEVAR was not possible because of small internal luminal diameter in visceral aorta. The pseudo-aneurysm was managed successfully with Four-fen fEVAR extended to the abdominal previous tube graft and the patient achieved a good recovery. Conclusion: Fenestrated endo vascular aortic repair after prior open surgical repair is associated with low peri-operative morbidity and mortality, and acceptable medium term survival.
Publication History
Article published online:
02 April 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Stuttgart · New York