Endovascular Repair of a Juxtarenal Abdominal Aortic Aneurysm Using a Chimney Graft.
- Author:
Darae KIM
1
;
Young Guk KO
;
Do Yun LEE
;
Donghoon CHOI
Author Information
1. Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. Ygko@yuhs.ac
- Publication Type:Case Report
- Keywords:
Abdominal aortic aneurysm;
Endovascular techniques
- MeSH:
Aged;
Aneurysm;
Aortic Aneurysm, Abdominal*;
Comorbidity;
Endovascular Procedures;
Humans;
Male;
Stents;
Transplants*
- From:Korean Journal of Medicine
2014;86(2):213-217
- CountryRepublic of Korea
- Language:English
-
Abstract:
An endovascular repair of an abdominal aortic aneurysm (AAA) is technically less invasive than open surgery, but gives results as effective as open surgery if the anatomy is adequate. Unfortunately, 20-30% of AAA patients are not suitable for endovascular repair because they lack a sufficient proximal landing zone. In an effort to broaden the applicability of endovascular repair, the chimney technique has been introduced. This refers to deployment of a covered or bare-metal stent parallel to the main aortic endograft within the aneurysm, creating a conduit that runs outside the main aortic endograft into the aortic branches. We report the case of a 75-year-old male with a juxtarenal abdominal aortic aneurysm and multiple comorbidities who was treated successfully with an endovascular aneurysm repair using a chimney graft.
