Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Apr 28;5(2):117-121.
doi: 10.1016/j.jvscit.2018.12.006. eCollection 2019 Jun.

Use of fenestrated-branched endovascular aneurysm repair to treat Carrel patch aneurysmal degeneration after open thoracoabdominal aortic aneurysm repair

Tammy T Nguyen  1 , Jessica P Simons  1 , Andres Schanzer  1
Affiliations
Case Reports

Use of fenestrated-branched endovascular aneurysm repair to treat Carrel patch aneurysmal degeneration after open thoracoabdominal aortic aneurysm repair

Tammy T Nguyen et al. J Vasc Surg Cases Innov Tech. .

Abstract

Two patients with a history of open type II thoracoabdominal aortic aneurysm repair presented with saccular aneurysmal degeneration of the Carrel patch. The degenerated segments measured 6.2 cm and 7.4 cm, respectively, and involved the celiac artery, superior mesenteric artery, and right renal artery. Both patients successfully underwent a custom fenestrated-branched endovascular aneurysm repair with downgoing branches to the celiac artery, superior mesenteric artery, and right renal artery and a stented fenestration to the left renal artery. Completion angiography demonstrated no endoleak and patent visceral-renal segments. Both patients were discharged home on postoperative day 2.

Keywords: Aneurysm; Carrel patch; Fenestrated.

PubMed Disclaimer

Figures

Fig 1
Fig 1
Preoperative three-dimensional model of aneurysmal degeneration of the Carrel patch in patient A (A), resulting in a saccular aneurysm measuring 7.4 cm in maximum diameter, and patient B (B), resulting in a saccular aneurysm measuring 6.2 cm in maximum diameter. The scale bar is 50 mm. CA, Celiac artery; RRA, right renal artery; SMA, superior mesenteric artery.
Fig 2
Fig 2
Custom-made fenestrated-branched endovascular aneurysm repair (F/B-EVAR) design and corresponding graft. A, Patient A custom-made F/B-EVAR design. B, Patient A F/B-EVAR graft. C, Patient B preoperative custom-made F/B-EVAR design. D, Patient B F/B-EVAR graft. RRA, Right renal artery; RT, right; SMA, superior mesenteric artery. The red ellipse indicates anterior marker, and the blue ellipse indicates tick marker; Ø is diameter in millimeters. All numbers are in millimeters.
Fig 3
Fig 3
Intraoperative three-dimensional reconstruction of fenestrated-branched endovascular aneurysm repair (F/B-EVAR) after stent graft deployment in patient A (A) and patient B (B).
Fig 4
Fig 4
The 1-month three-dimensional reconstruction of fenestrated-branched endovascular aneurysm repair (F/B-EVAR) graft in patient A (A) and patient B (B). The scale bar is 50 mm. CA, Celiac artery; RRA, right renal artery; SMA, superior mesenteric artery.
See this image and copyright information in PMC

References

    1. Carrel T.P., Signer C. Separate revascularization of the visceral arteries in thoracoabdominal aneurysm repair. Ann Thorac Surg. 1999;68:573–575. - PubMed
    1. Crawford E.S., Schuessler J.S. Thoracoabdominal and abdominal aortic aneurysms involving celiac, superior mesenteric, and renal arteries. World J Surg. 1980;4:643–651. - PubMed
    1. Crawford E.S., Snyder D.M., Cho G.C., Roehm J.O. Progress in treatment of thoracoabdominal and abdominal aortic aneurysms involving celiac, superior mesenteric, and renal arteries. Ann Surg. 1978;188:404–422. - PMC - PubMed
    1. Elefteriades J.A. Natural history of thoracic aortic aneurysms: indications for surgery, and surgical versus nonsurgical risks. Ann Thorac Surg. 2002;74:S1877–S1880. discussion: S1892-8. - PubMed
    1. Griepp R.B., Ergin M.A., Galla J.D., Lansman S.L., McCollough J.N., Nguyen K.H. Natural history of descending thoracic and thoracoabdominal aneurysms. Ann Thorac Surg. 1999;67:1927–1930. discussion: 1953-8. - PubMed

Publication types

LinkOut - more resources