title: Total endovascular solution for complex visceral aneurysms.
abstract: Visceral aneurysms are rare in the general population (<2%), and the most serious complication is represented by aneurysm rupture. The use of stent grafts to exclude visceral aneurysms is described in several reports but is reserved for patients with favorable anatomy. We report here on a hepatic artery pseudoaneurysm in a liver transplant patient and a patient with an aneurysmal vein graft degeneration of a renal bypass, both with no suitable proximal neck for standard stent grafting. Both patients were successfully treated with a custom-made aortic endograft with a single fenestration for the hepatic or renal artery, together with a visceral covered stent. Although initial results are promising, long-term follow-up is required to assess durability.
authors.affiliation: Unit of Vascular and Endovascular Surgery, Ospedale S. Maria della Misericordia, Università degli Studi di Perugia, Perugia, Italy. Electronic address: fverzini@unipg.it.
authors.forename: Fabio
authors.initials: F
authors.lastname: Verzini
authors.forename: Antonella
authors.initials: A
authors.lastname: Biello
authors.forename: Alessandro
authors.initials: A
authors.lastname: Marucchini
authors.forename: Basso
authors.initials: B
authors.lastname: Parente
authors.forename: Gianbattista
authors.initials: G
authors.lastname: Parlani
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Cao
mesh_terms: D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016031:Liver Transplantation / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D015641:Radiography, Interventional; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012501:Saphenous Vein / Q000637:transplantation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult