Methods: After deployment of two parallel main body stent grafts into the descending aorta through the femoral arteries, we cannulated the superior mesenteric artery and celiac trunk through one of the contralateral limbs and bilateral renal arteries through the other contralateral limb of the main body stent from bilateral axillary arteries. Two covered stents for the superior mesenteric artery and celiac trunk were deployed and were kept parallel at the top of the contralateral limb. The renal arteries were preserved similarly. The remaining two ipsilateral limbs were extended to bilateral common iliac arteries.Results: Final angiography and postoperative 6-month imaging followup in our three patients showed good results (Fig 2).Conclusions: Our hexapus technique is feasible in treatment of thoracoabdominal aortic aneurysm if the patient is too fragile to receive open repair or no commercial fenestrated or branched stent graft is available.
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