title: Thoracoabdominal branched repositionable device for an urgent complex aortic aneurysm.
abstract: The successful use of customized branched or fenestrated devices to treat elective thoracoabdominal aneurysm (TAAA) has already been described. However, the device customization is a lengthy process that necessitates a delay in treatment of more than a month. This case reports an emergency treatment of TAAA, in a 80-year-old patient, refused to open repair, admitted with abdominal pain using a new technique, modifying Gore C3 Excluder (WL Gore & Associates, Flagstaff, AZ) including branches to enable the emergency endovascular treatment of TAAA preserving visceral artery flow and excluding aneurysm.
authors.affiliation: Division of Vascular and Endovascular Surgery, Institute of Cardiology of Federal District-ICDF, Brasília, Distrito Federal, Brazil. Electronic address: drgustavo.endovascular@gmail.com.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Paludetto
authors.affiliation: Division of Vascular and Endovascular Surgery, Institute of Cardiology of Federal District-ICDF, Brasília, Distrito Federal, Brazil.
authors.forename: Carlos Andre
authors.initials: CA
authors.lastname: Schuler
authors.affiliation: Division of Vascular and Endovascular Surgery, Institute of Cardiology of Federal District-ICDF, Brasília, Distrito Federal, Brazil.
authors.forename: Josué Rafael
authors.initials: JR
authors.lastname: Cunha
authors.affiliation: Division of Vascular and Endovascular Surgery, Institute of Cardiology of Federal District-ICDF, Brasília, Distrito Federal, Brazil.
authors.forename: Iruena Moraes
authors.initials: IM
authors.lastname: Kessler
authors.affiliation: Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
authors.forename: Marc L
authors.initials: ML
authors.lastname: Schermerhorn
mesh_terms: D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006439:Hemodynamics; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome