title: The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture.
abstract: A 79-year-old woman presented with a ruptured saccular thoracoabdominal aortic aneurysm involving the celiac and mesenteric artery. The patient was unfit for open surgical repair. A "chimney" procedure was performed, which involved placement of stents in the aortic side branches alongside the endograft. The patient underwent another chimney procedure 2 weeks later for a type I endoleak. Computed tomography angiography (CTA) at 1 and 6 months showed a good result with no endoleaks or graft migration. The chimney procedure provides an alternative for emergency patients unfit for open repair and has the advantage that stents can be used that are already available in most institutions.
authors.affiliation: Department of Surgery, Section of Vascular Surgery, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: Felix J V
authors.initials: FJ
authors.lastname: Schlösser
authors.forename: John E
authors.initials: JE
authors.lastname: Aruny
authors.forename: Carter B
authors.initials: CB
authors.lastname: Freiburg
authors.forename: Hamid R
authors.initials: HR
authors.lastname: Mojibian
authors.forename: Bauer E
authors.initials: BE
authors.lastname: Sumpio
authors.forename: Bart E
authors.initials: BE
authors.lastname: Muhs
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D057867:Endoleak / Q000209:etiology / Q000601:surgery; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D005260:Female; D006801:Humans; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D011474:Prosthesis Design; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome