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Published in: Journal of Cardiothoracic Surgery 1/2024

Open Access 04-05-2024 | Abdominal Aortic Aneurysm | Case Report

Successful chimney endovascular aortic repair with reconstruction of three visceral branches for huge saccular juxtarenal abdominal aortic aneurysm after trans-thoracoabdominal esophagectomy

Authors: Takasumi Goto, Hironobu Fujimura, Takashi Shintani, Takashi Shibuya

Published in: Journal of Cardiothoracic Surgery | Issue 1/2024

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Abstract

Background

Conventional graft replacement for a juxtarenal abdominal aortic aneurysm (JRAAA) remains challenging for high-risk patients since it often requires the reconstruction of some visceral arteries.

Case Presentation

A 76-year-old woman was diagnosed with an 87 × 48 mm saccular JRAAA. Open graft replacement was contraindicated because of frailty and a past history of trans-thoracoabdominal esophagectomy. Chimney endovascular aortic repair (ChEVAR) with three chimney endografts was successfully performed without any endoleaks, and each visceral circulation was kept intact. The patient was discharged uneventfully on postoperative day 8. Significant shrinkage of the aneurysmal sac and preservation of flow through each chimney graft were observed on computed tomography 6 months postoperatively, with no significant increase in serum creatinine levels on laboratory testing.

Conclusions

ChEVAR can be a useful surgical option instead of conventional operations, especially for high-risk cases.
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Metadata
Title
Successful chimney endovascular aortic repair with reconstruction of three visceral branches for huge saccular juxtarenal abdominal aortic aneurysm after trans-thoracoabdominal esophagectomy
Authors
Takasumi Goto
Hironobu Fujimura
Takashi Shintani
Takashi Shibuya
Publication date
04-05-2024

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