Treatment of juxtarenal abdominal aortic aneurysms (AAAs) remains challenging. A 79-year-old male who had infrarenal endovascular repair of abdominal aortic aneurysm (EVAR) 13 years previously presented with leaking juxtarenal AAA. Emergency fenestrated EVAR (FEVAR) was performed utilizing a stent graft designed and built for a different patient. Despite the need to embolize the celiac artery prior to covering it with the stent graft in order to achieve adequate proximal seal, the patient had uneventful recovery.
United Kingdom EVAR Trial Investigators, GreenhalghRMBrownLCPowellJTThompsonSGEpsteinDSculpherMJ. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med. 2010;362(20):1863–1871.
2.
De BruinJLBaasAFButhJ; DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010;362(20):1881–1889.
3.
ZarinsCK; AneuRx Clinical Investigators. The US AneuRx trial: 6-year clinical update 2002. J Vasc Surg. 2003;37(4):904–908.
4.
PetersonBGMatsumuraJSBrewsterDCMakarounMS; Excluder Bifurcated Endoprosthesis Investigators. Five-year report of a multicenter controlled clinical trial of open versus endovascular treatment of abdominal aortic aneurysms. J Vasc Surg. 2007;45(5):885–890.
5.
RicottaJJIITsilimparisN. Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients. J Vasc Surg. 2012;56(6):1535–1542.
6.
GreenbergRKClairDCSurivastavaS. Should patients with challenging anatomy be offered endovascular aneurysm repair?J Vasc Surg. 2003;38(5):990–996.
7.
DonasKPTorselloGAustermannMSchwindtATroisiNPitouliasGA. Use of abdominal chimney grafts is feasible and safe: short-term results. J Endovasc Ther. 2010;17(5):589–593.
8.
BruenKJFeezorRJDanielsMJBeckAWLeeWA. Endovascular chimney technique versus open repair of juxtarenal and suprarenal aneurysms. J Vasc Surg. 2011;53(4):895–904;discussion 904-905.
9.
DiasNVReschTSonnesonBMalinaM. Single superior mesenteric artery periscope grafts to facilitate urgent endovascular repair of acute thoracoabdominal aortic pathology. J Endovasc Ther. 2011;18(5):656–660.
10.
TallaritaTSobreiraMLOderichGS. Results of open pararenal abdominal aortic aneurysm repair: tabular review of the literature. Ann Vasc Surg. 2011;25(1):143–149.
11.
MoulakakisKGMylonasSNAvgerinosEDKakisisJDBrunkwallJLiapisCD. Hybrid open endovascular technique for aortic thoracoabdominal pathologies. Circulation. 2011;124(24):2670–2680.
12.
MoulakakisKGMylonasSNAvgerinosE. The chimney graft technique for preserving visceral vessels during endovascular treatment of aortic pathologies. J Vasc Surg. 2012;55(5):1497–1503.
