title: Complicated Fenestrated Endovascular Repair of a Pararenal Aortic Aneurysm.
abstract: We report the case of a 77-year-old man treated with a custom-made fenestrated endograft for pararenal aortic aneurysm repair. Fenestrations for the superior mesenteric and both the renal arteries and augmented anterior valley and/or scallop for the celiac trunk were performed. The procedure was complicated by the superior mesenteric artery stent-graft entrapment from the endograft delivery system release wires and total dislodgement into the endograft main body. Superior mesenteric artery restenting and displaced stent-graft removal completed the intervention. Fenestrated-endograft deployment should be performed by a team familiar with the device, deployment system, and bail out solutions.
authors.affiliation: Vascular Surgery Unit, Department of Surgery, "San Francesco" Hospital, Nuoro, Italy; Vascular Surgery Unit, Department "Paride Stefanini", Sapienza University of Rome, Policlinico Umberto I, Rome, 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; Vascular Surgery Unit, Department "Paride Stefanini", Sapienza University of Rome, Policlinico Umberto I, Rome, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Marino
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; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D011474:Prosthesis Design; D012077:Renal Artery / Q000601:surgery; D015607:Stents; D016896:Treatment Outcome