[Endovascular exclusion of juxtarenal abdominal aortic aneurysm with one-piece customized fenestrated endovascular stent-graft].
OBJECTIVE
To evaluate the technical feasibility of juxtarenal abdominal aortic aneurysm (AAA) repair with fenestrated endovascular stent-graft


METHODS
A 64-year-old male was diagnosed with juxtarenal AAA with severe coronary artery stenosis, fenestrations was customized according to precise helical CT data to accommodate visceral and renal arteries. Under general anesthesia and dynamic supervision of digital subtraction angiography (DSA), juxtarenal AAA was excluded with the customized fenestrated stent-graft and balloon expandable mini stent-grafts were deployed into bilateral renal arteries respectively.


RESULTS
After operation, DSA showed the patency of the super mesenteric artery, bilateral renal arteries and left hypogastric artery, no endoleak was found. The serum creatinine decreased slightly after operation. CT angiography revealed favorable morphology of the stent-graft without tortuosity, migration, disjoint and endoleak 10 days after the operation and patency of super mesenteric artery, bilateral renal arteries and left hypogastric artery.


CONCLUSIONS
The placement of customized fenestrated endovascular stent-graft is a feasible option for juxtarenal AAA.
Jing
Zai-ping
ZP
Department of Vascular Surgery, Institute of Vascular Surgery of PLA, Changhai Hospital, Second Military Medical University, Shanghai, China. jingzp@xueguan.net
Yuan
Liang-xi
LX
Feng
Xiang
X
Bao
Jun-min
JM
Zhao
Zhi-qing
ZQ
Feng
Rui
R
Mei
Zhi-jun
ZJ
Liao
Ming-fang
MF
Pei
Yi-fei
YF
D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D005240:Feasibility Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents