Covered endovascular repair of the paravisceral aorta

Open aortic repair is considered the “gold standard” treatment for aortic occlusive disease. We present the case of an 83-year-old patient with refractory hypertension caused by paravisceral aortic stenosis including both renal arteries and the superior mesenteric artery. We planned an endovascular...

Full description

Bibliographic Details
Main Authors: Markus Plimon, MD, Jürgen Falkensammer, MD, Fadi Taher, MD, Afshin Assadian, MD
Format: Article
Language:English
Published: Elsevier 2017-09-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428717300217
Description
Summary:Open aortic repair is considered the “gold standard” treatment for aortic occlusive disease. We present the case of an 83-year-old patient with refractory hypertension caused by paravisceral aortic stenosis including both renal arteries and the superior mesenteric artery. We planned an endovascular approach and treated the patient with parallel stent grafts in the paravisceral aorta. At 1.5 years after the operation, the patient was free of hypertensive episodes. Covered endovascular repair of the paravisceral aorta may be a valuable alternative to open aortic repair in patients unfit for open surgery. More research is needed to evaluate the long-term effects of this technique.
ISSN:2468-4287