title: Alternative technique for endovascular treatment of an abdominal aortic aneurysm with a severely angulated neck.
abstract: An 86-year-old female was incidentally discovered with an asymptomatic 5.3 cm infrarenal aortic aneurysm. Preoperative imaging demonstrated the aortic neck to have severe suprarenal and infrarenal angulation. The patient was deemed unfit for open aortic repair due to multiple medical comorbidities. Endovascular treatment was performed with a modified Zenith bifurcated graft using a Zenith TX2 endograft as a proximal aortic cuff. There were no perioperative complications, and postoperative imaging demonstrated aneurysm exclusion with no migration or major endoleaks. The patient died of unrelated causes at 21 months. The use of a thoracic endograft as a proximal cuff is an alternative technique in the endovascular treatment of abdominal aortic aneurysms with a severely angulated neck.
authors.affiliation: Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Caputo
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Jim
authors.forename: Luis A
authors.initials: LA
authors.lastname: Sanchez
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D058070:Asymptomatic Diseases; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D033162:Incidental Findings; D011474:Prosthesis Design; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome