Therapeutic Strategies for Infectious Multiple Aortic Aneurysms: Thoracoabdominal Aortic Aneurysm Treatment Using a Fenestrated Stent-Graft

Abstract

Recently, it has been reported that a fenestrated stent graft is an effective option in the treatment of pararenal artery abdominal aortic aneurysm. We report the case of a 72-yearold male patient with multiple aortic aneurysms in the distal arch, thoracoabdominal aorta, right common iliac artery, as well as a pararenal abdominal aortic aneurysm. The patient was found to have a mass with a tendency of rapid expansion within a month from its discovery. Because it was a saccular aneurysm with a tendency of rapid expansion and wide spread, the risk of rupture was judged to be high, and surgical treatment became necessary. One-stage treatment was desirable; therefore, endovascular treatment with a fenestrated stent graft was selected. Four fenestrations were made to a stent graft for the celiac artery, superior mesenteric artery, and bilateral renal arteries. The postoperative computed tomography (CT) showed no branch occlusion or endoleak, and the 2-year postoperative CT showed the shrinkage and subsequent disappearance of the aortic aneurysm at the treatment site. For extensive aortic aneurysm, including pararenal artery abdominal aortic aneurysms, one-stage treatment with fenestrated stent graft was considered to be effective as a treatment strategy. (This is a

Endovascular Reintervention for Stent-Graft Dislocation after Open Surgical Conversion for Thoracoabdominal Aortic Aneurysm Treated by Thoracic Endovascular Aortic Repair

“…The reintervention-free survival rate was lower in patients outside the IFU, with a hazard ratio of approximately 10 for TEVAR-related reintervention [ 2 ]. In Japan, several problems are associated with TEVAR for TAAA, including the need for the surgeon to modify the process of creating the fenestration and branch to preserve the abdominal branch [ 7 ]. Thus, TEVAR for TAAA can be used for complex TAAA cases that were previously treated with TEVAR outside the IFU.…”

Custom-made fenestrated stent for mycotic aortic aneurysms: a report of two cases

“…In a recent case, Satoshi et al conducted stent fenestrations for the celiac artery, superior mesenteric artery, left and right renal arteries for a patient suffering from mycotic multiple aortic aneurysms. Follow-up CT at 2 years and 4 months indicated shrinkage and disappearance of aneurysms [ 13 ].…”