Aortic debranching procedures to facilitate endografting

A fenestrated stent graft for endovascular repair of an ascending aortic pseudoaneurysm

Endovascular stent grafting is a novel therapeutic technique for repairing aortic aneurysms, and is especially useful for descending aortic aneurysm and aneurysm at the distal arch. However, no effective endovascular approach for the ascending aorta has been reported a remaining site for endovascular repair because of the anatomical restrictions and the presence of vital branches to the head and arms that are present in this region. This report describes an endovascular stent graft repair of a pseudoaneurysm at the ascending aorta using a fenestrated stent graft. The fenestrated stent graft is easy to use and less invasive for the endovascular repair of the ascending aorta.

Hybrid thoracoabdominal aortic aneurysm repair: visceral revascularization combined with endovascular abdominal and thoracic aneurysm repair

Hybrid approaches for the treatment of thoracoabdominal aortic aneurysms (TAAAs) by using a combination of visceral revascularization followed by thoracic endovascular aneurysm repair (EVAR) have been reported with acceptable results. The authors present a case that required the addition of a bifurcated infrarenal EVAR to completely exclude a type III TAAA.