Endovascular Repair of an Aneurysm Arising from a Celiomesenteric Trunk

Bi, Guoshan; Xiong, Guozuo; Xianpeng, Dai; Shen, Xin Ming; Deng, Liming; Chen, Jie; Luo, Dongyang

doi:10.1016/j.avsg.2019.06.020

Cited by 2 publications

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References 13 publications

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“…[1][2][3] Prior reports of patients with CMTs and aneurysmal or occlusive disease have focused on techniques of open or endovascular reconstructions, but none have described the use of fenestrated-branched endovascular aortic repair (FB-EVAR) for treatment of thoracoabdominal aortic aneurysms (TAAAs). [4][5][6][7][8][9][10] We report a patient who presented with a 7.9-cm TAAA affecting a CMT and was treated by FB-EVAR using double kissing directional branches for incorporation of the celiac axis (CA) and the superior mesenteric artery (SMA).…”

Section: Introductionmentioning

confidence: 99%

Incorporation of Celiomesenteric Trunk With Double Kissing Directional Branches During Fenestrated-Branched Endovascular Aortic Repair

et al. 2021

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Purpose: Common celiomesenteric trunk (CMT) is a rare anatomical variation that occurs in 0.5% to 3.4% of the general population. Its presence may complicate planning and implantation of fenestrated and branched stent-grafts because the wide diameter and short length of the CMT to its bifurcation does not allow sufficient sealing for placement of bridging stents. Case Report: We report a patient with thoracoabdominal aortic aneurysm (TAAA) and CMT treated by fenestrated-branched endovascular aortic repair (FB-EVAR) using double kissing directional branches to incorporate the celiac axis and superior mesenteric artery. Pitfalls of stent design and implantation are outlined. Conclusion: Double kissing directional branches should be considered as an alternative to incorporate vessels with early bifurcation such as a CMT.

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