Successful chimney endovascular aortic repair with reconstruction of three visceral branches for juxtarenal abdominal aortic pseudoaneurysm after trans-thoracoabdominal esophagectomy

Abstract

Background Conventional graft replacement for a juxtarenal abdominal aortic aneurysm remains challenging for high-risk patients since it often requires the reconstruction of some visceral arteries. Case Presentation A 76-year-old woman was diagnosed with an 87 x 48 mm juxtarenal abdominal aortic pseudoaneurysm. Open graft replacement was contraindicated because of frailty and a past history of trans-thoracoabdominal esophagectomy. Chimney endovascular aortic repair (CEVAR) with three chimney endografts was successfully performed without any endoleaks and each visceral circulation was kept intact. The patient was discharged uneventfully on postoperative day 8. Conclusions CEVAR can be a useful surgical option instead of conventional operations, especially for high-risk cases