Abstract
We report the case of a 70-year-old man with an asymptomatic, fast-growing, paraceliac penetrating aortic ulcer (PAU). Guidelines recommend endovascular repair if an asymptomatic PAU shows a mean growth rate ≥5 mm per year: this patient's maximum aortic diameter was 47 mm but had increased 10 mm in the previous year. The very short sealing zones required a custom-made stent graft. A custom-made relay stent graft comprises a single celiac trunk fenestration, a superior mesenteric artery (SMA) scallop measured according to SMA ostium size, an uncovered distal stent, and 6-mm tapering was used with technical and clinical success.
Copyright © 2018 Elsevier Inc. All rights reserved.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Aged
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Aortic Diseases / diagnostic imaging
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Aortic Diseases / physiopathology
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Aortic Diseases / surgery*
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Aortography / methods
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Asymptomatic Diseases
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Blood Vessel Prosthesis Implantation / instrumentation*
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Blood Vessel Prosthesis*
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Celiac Artery / diagnostic imaging
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Celiac Artery / physiopathology
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Celiac Artery / surgery*
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Computed Tomography Angiography
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Endovascular Procedures / instrumentation*
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Humans
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Male
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Mesenteric Artery, Superior / diagnostic imaging
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Mesenteric Artery, Superior / physiopathology
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Mesenteric Artery, Superior / surgery*
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Prosthesis Design
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Stents*
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Treatment Outcome
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Ulcer / diagnostic imaging
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Ulcer / physiopathology
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Ulcer / surgery*