Evaluation of visible spinal arteries on computed tomography angiography before and after branched stent graft repair for thoracoabdominal aortic aneurysm

Purpose: To describe the technical aspects of a thoracoabdominal aortic aneurysm (TAAA) repair using a patient-specific fenestrated-branched stent-graft. Technique: The technique is demonstrated in a 69-year-old man with a 6.2-cm asymptomatic type III TAAA. A patient-specific fenestrated-branched stent-graft was designed with 2 down-going directional branches for the celiac and superior mesenteric arteries and 2 reinforced fenestrations for the renal arteries. The procedure was performed under general anesthesia and included sequential stenting of the celiac, superior mesenteric, and bilateral renal arteries. The patient was discharged from the hospital on postoperative day 5 with no complications. Follow-up computed tomography angiography demonstrated exclusion of the aneurysm and patent target vessels at 12-month follow-up. Conclusion: This article and illustrated video highlight the steps for procedure planning and implantation of fenestrated and branched endografts. As these techniques continue to evolve, outcomes are expected to be equivalent or improved as compared to those of long-established open repair.

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Stent Graft Repair of Para-Anastomotic Aneurysms Following Open Descending Thoracic and Thoracoabdominal Aortic Aneurysm Repair

Journal of Vascular Surgery ◽

10.1016/j.jvs.2011.09.046 ◽

2011 ◽

Vol 54 (5) ◽

pp. 1550

Author(s):

David O'Connor ◽

Ageliki Vouyouka ◽

Sharif Ellozy ◽

Scott Sundick ◽

Margaret Walkup ◽

...

Keyword(s):

Aortic Aneurysm ◽

Stent Graft ◽

Thoracoabdominal Aortic Aneurysm ◽

Stent Graft Repair ◽

Thoracoabdominal Aortic Aneurysm Repair ◽

Aneurysm Repair ◽

Aortic Aneurysm Repair

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Imaging of abdominal aortic aneurysm before and after endoluminal stent-graft repair

European Journal of Radiology ◽

10.1016/s0720-048x(01)00337-0 ◽

2001 ◽

Vol 39 (1) ◽

pp. 3-15 ◽

Cited By ~ 19

Author(s):

S.C Whitaker

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Stent Graft ◽

Abdominal Aortic ◽

Before And After ◽

Stent Graft Repair ◽

Endoluminal Stent

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Mid-aortic syndrome: computed tomography angiography depicting extensive collateral circulation in an 11-year-old patient with thoracoabdominal aortic coarctation

VASA ◽

10.1024/0301-1526/a000176 ◽

2012 ◽

Vol 41 (2) ◽

pp. 132-135 ◽

Cited By ~ 2

Author(s):

Krohn ◽

Gebauer ◽

Hübler ◽

Beck

Keyword(s):

Computed Tomography ◽

Computed Tomography Angiography ◽

Collateral Circulation ◽

Intestinal Ischemia ◽

Clinical Presentation ◽

Lower Limbs ◽

Upper Body ◽

Descending Aorta ◽

Before And After ◽

Blood Pressures

The mid-aortic syndrome is an uncommon clinical condition characterized by severe narrowing of the descending aorta, usually with involvement of its renal and visceral branches, presenting with uncontrollably elevated blood pressures of the upper body, renal and cardiac failure, intestinal ischemia, encephalopathy symptoms and claudication of the lower limbs, although clinical presentation is variable. In this article we report the case of an eleven-year-old patient with the initial diagnosis of a mid-aortic syndrome and present the computed tomography angiography pictures and reconstructions before and after surgical therapy.

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