A novel technique for the treatment of a ruptured para-anastomotic thoracic aortic aneurysm in the presence of a chronic abdominal aortic dissection

Hakam Sunoqrot; Daniel Silverberg; Haitam Hater; Ahmad Abu Rmeileh; Moshe Halak

doi:10.1016/j.jvscit.2021.03.005

A novel technique for the treatment of a ruptured para-anastomotic thoracic aortic aneurysm in the presence of a chronic abdominal aortic dissection

J Vasc Surg Cases Innov Tech. 2021 Apr 20;7(2):350-353. doi: 10.1016/j.jvscit.2021.03.005. eCollection 2021 Jun.

Authors

Hakam Sunoqrot¹, Daniel Silverberg¹, Haitam Hater¹, Ahmad Abu Rmeileh¹, Moshe Halak¹

Affiliation

¹ Department of Vascular Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv, Israel.

Abstract

We report the case of a 69-year-old woman with Marfan syndrome and a history of multiple thoracic aortic surgeries and a coexisting dissection of her abdominal aorta. She had presented with a ruptured para-anastomotic thoracic aortic aneurysm due to an infected graft. She was treated with two parallel Nellix endografts that were placed in the true and false lumens. The surrounding endobags were inflated with a polymer that completely sealed the ruptured aorta and preserved blood flow to the visceral arteries. Postoperative imaging showed complete exclusion of the aneurysm with patency of all aortic branches and no evidence of endoleak.

Keywords: Aortic dissection; Marfan syndrome; Para-anastomotic aneurysm; Parallel stent grafts; Thoracic endovascular aneurysm repair.

Publication types

Case Reports