Chimney endovascular aneurysm repair-induced mesenteric ischemia: A report of an extremely rare complication

Pierfrancesco Antonio Annuvolo, MD; Federico Pascucci, MD; Fabrizio Minelli, MD; Marco Natola, MD; Tommaso Donati, MD; Yamume Tshomba, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2023)

Chimney endovascular aneurysm repair-induced mesenteric ischemia: A report of an extremely rare complication

Pierfrancesco Antonio Annuvolo, MD,
Federico Pascucci, MD,
Fabrizio Minelli, MD,
Marco Natola, MD,
Tommaso Donati, MD,
Yamume Tshomba, MD

Affiliations

Pierfrancesco Antonio Annuvolo, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy
Federico Pascucci, MD: Correspondence: Federico Pascucci, MD, Vascular Surgery Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS – Largo Agostino Gemelli, Rome 00168, Italy; Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy
Fabrizio Minelli, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy
Marco Natola, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy
Tommaso Donati, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy
Yamume Tshomba, MD: Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy

Journal volume & issue: Vol. 9, no. 3
p. 101259

Abstract

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The chimney endovascular aneurysm repair (Ch-EVAR) technique has progressively increased in popularity in the treatment of complex aortic aneurysms. However, the long-term results of this technique still must be assessed, especially in comparison to custom-made solutions. The patency of chimney grafts has always been one of the important issues with the Ch-EVAR technique. However, interactions between nonstented aortic side branches and chimney stent grafts have rarely been discussed. In the present case report, we describe a rare case of mesenteric ischemia due to superior mesenteric artery ostium coverage by the misalignment of a renal stent graft in a Ch-EVAR.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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