Rabellino M, Garcia-Nielsen L, Maynar M.

A 74-year-old male patient with a thoracoabdominal aortic aneurysm diagnosis was admitted to our hospital. Multidetector computed tomography (MDCT) showed the extent of the aneurysm. A two-stage endovascular approach was planned to prevent paraplegia. In the first attempt, the thoracic prosthesis was placed up to 2 cm above the diaphragm. In the second procedure, a fenestrated prosthesis was placed, completely covering the abdominal aorta and common iliac arteries. Through its fenestrations, 4 covered stents were delivered, one for the celiac trunk, superior mesenteric artery and both renal arteries. No complications were observed. The MDCT images at 2 years revealed complete patency of the aortic fenestrated graft.




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