title: Fenestrated endograft for recurrent paravisceral aortic pseudoaneurysm after thoracoabdominal aortic aneurysm open repair.
abstract: Paravisceral aortic pseudoaneurysm is an uncommon late graft-related complication after thoracoabdominal aortic aneurysm open repair. The redo surgery and hybrid procedures are the treatments of choice, with significant perioperative morbidity and mortality rates. We report a total endovascular repair of a 56-mm paravisceral aortic pseudoaneurysm in a 65-year-old patient with a history of type V thoracoabdominal aortic aneurysm open repair and redo open procedure for a distal anastomotic pseudoaneurysm. The lesion was successfully treated with a custom-made four-fenestration endograft. At 18 months, the patient was asymptomatic without liver, renal, or pancreatic problems. Computed tomography angiography demonstrated the absence of endoleaks, the antegrade perfusion of visceral vessels, and the absence of stent graft fractures.
authors: Vascular Surgery, University of Bologna, Azienda Policlinico S. Orsola-Malpighi, Bologna, Italy. mauro.gargiulo2@unibo.it
authors: Mauro
authors: M
authors: Gargiulo
authors: Enrico
authors: E
authors: Gallitto
authors: Antonio
authors: A
authors: Freyrie
authors: Andrea
authors: A
authors: Stella
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012008:Recurrence; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome