Dayan Avner Bar, Silverberg Daniel, Speter Chen, Halak Moshe
Department of Vascular Surgery, Chaim Sheba Medical Center at Tel Hashomer, Ramat Gan, Israel.
J Vasc Surg Cases Innov Tech. 2020 Oct 27;7(1):120-122. doi: 10.1016/j.jvscit.2020.10.015. eCollection 2021 Mar.
The chimney endovascular aortic repair technique is an established option for the treatment of juxtarenal aortic aneurysms. Failure of this repair represents a major surgical challenge. We report the case of a patient treated previously with chimney endovascular aortic repair (for a juxtarenal aortic aneurysm), who had developed a large type IA endoleak. The patient was treated with a custom-made endograft with three inner branches. All vessels were successfully cannulated and bridged, no evidence of endoleak was seen on the completion angiogram, and the patient had an uneventful recovery.
烟囱式血管腔内主动脉修复技术是治疗近肾主动脉瘤的一种成熟方法。这种修复失败是一项重大的外科挑战。我们报告一例先前接受烟囱式血管腔内主动脉修复术（治疗近肾主动脉瘤）的患者，该患者出现了大型IA型内漏。该患者接受了带有三个内分支的定制血管内移植物治疗。所有血管均成功插管并桥接，完成血管造影时未发现内漏迹象，患者恢复顺利。
