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Endovascular Management of a Ruptured Thoracoabdominal Aneurysm-Damage Control With Superior Mesenteric Artery Snorkel and Thoracic Stent-Graft Exclusion ANNALS OF VASCULAR SURGERY Riesenman, P. J., Reeves, J. G., Kasirajan, K. 2011; 25 (4): 555.e5–9

Abstract

We report a case of a large ruptured thoracoabdominal aortic aneurysm, which was stabilized with endovascular aortic exclusion and snorkel bypass of the superior mesenteric artery (SMA). An 80-year-old African American woman with multiple medical comorbidities and previous open infrarenal abdominal aortic aneurysm repair presented with a ruptured 10.7 × 7.3 cm thoracoabdominal aortic aneurysm involving the origins of the renal and mesenteric vessels. The patient underwent emergent endovascular aortic repair with placement of a covered stent into the SMA coursing parallel to the aortic endograft. This technique was initially successful in clinically stabilizing the patient; however; 3 weeks after the initial procedure, she presented with recurrent rupture necessitating proximal extension of her snorkeled SMA bypass and aortic endograft into the mid-descending thoracic aorta. The patient stabilized and was successfully discharged home.

View details for DOI 10.1016/j.avsg.2010.12.028

View details for Web of Science ID 000290298400021

View details for PubMedID 21549926