Purpose: To describe the endovascular exclusion of leaking thoracic aortic aneurysms (TAA).
Case report: Two elderly patients with leaking TAAs who were at high risk for surgical intervention were transferred to our institution for possible endovascular treatment. Both patients underwent successful endovascular exclusion of the leaking TAAs using multiple stacked AneuRx thoracic endoprostheses. One patient remains alive and well at 1 year with an excluded aneurysm; the other patient died from heart failure 2 months after endografting.
Conclusions: While the early results of the endovascular exclusion of leaking TAAs are promising, the use of thoracic endoprostheses remains investigational.