Sarah E. Langdon BS , John C. Motta MD , Alexander Kulik MD, MPH , Irfan Imami MD , Lisamarie Kernicky RN, BSN, CCRC , W. Anthony Lee MD
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Branched endograft repair of an aortic stump aneurysm
We present a patient with an aortic stump aneurysm that was repaired with a custom-made, four-branched thoracoabdominal endograft. The repair was performed in two stages using a special delivery system designed to be introduced in an antegrade manner through a median sternotomy due to a lack of iliofemoral access. At 1 year, the patient remains in good health, with his aneurysm completely excluded and decreased in size, without migration, and all branch vessels patent. This report represents a unique endovascular repair of a complex aortic pathology in a patient without other surgical options.
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