Article ID Journal Published Year Pages File Type
2887759 Annals of Vascular Surgery 2010 4 Pages PDF
Abstract

This article describes a novel technique that combines off-label endovascular methods with an open surgical debranching procedure to facilitate repair of a para-anastomotic juxtarenal aortic aneurysm. We present a case of recurrent aortic aneurysmal disease 10 years after infrarenal tube graft repair. The aneurysm was treated in two stages; first by retrograde aortobirenal bypass with a bifurcated graft. Subsequently, fenestrated endografting was performed with a custom-altered TX-2 thoracic stent graft (COOK, Bloomington, IN), with fenestrations for both the celiac and superior mesenteric arteries. As compared with a purely open approach, this technique offers an alternative for managing juxtarenal aneurysms with less physiologic insult.

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