title: Ruptured thoracoabdominal aneurysm treatment with modified chimney stent graft.
abstract: A 76-year-old woman presented with symptomatic contained-ruptured thoracoabdominal aneurysm at the level of the superior mesenteric artery (SMA) and the hepatic artery origin from the SMA. The chimney technique for celiac trunk, SMA, and right renal artery (periscope configuration) was performed. An endovascular leak from the distal landing zone of the SMA stent graft was treated using a second modified stent graft with the SMA branches preservation. The 18-month follow-up computed tomography angiography demonstrated the aneurysm exclusion, no endovascular leak, and visceral and renal arteries patency.
authors.affiliation: Vascular Surgery Unit, Department of Surgery, San Francesco Hospital, Nuoro, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Marino
authors.affiliation: Vascular Surgery Unit, Department of Surgery, San Francesco Hospital, Nuoro, Italy. Electronic address: kasemiholta@libero.it.
authors.forename: Holta
authors.initials: H
authors.lastname: Kasemi
authors.affiliation: Vascular Surgery Unit, Department of Surgery, San Francesco Hospital, Nuoro, Italy.
authors.forename: Costantino Luca
authors.initials: CL
authors.lastname: Di Angelo
authors.affiliation: Vascular Surgery Unit, Department of Surgery, San Francesco Hospital, Nuoro, Italy.
authors.forename: Gian Franco
authors.initials: GF
authors.lastname: Fadda
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000637:transplantation*; D015607:Stents; D014656:Vascular Surgical Procedures / Q000295:instrumentation / Q000379:methods