International Journal of Cardiovascular ResearchISSN: 2324-8602

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Case Report,  Int J Cardiovasc Res Vol: 3 Issue: 6

Use of Tube Stent-Grafts Combined with the Chimney Technique in Juxtarenal Saccular Aortic Aneurysms with Sufficient Distal Neck

Marcus Fokou1, Konstantinos P Donas2*, Martin Austermann2, Arne Schwindt3 and Giovanni Torsello2
1Department of Vascular and Endovascular Surgery, Münster Universty Hospital, Münster, Germany
2Department of Surgery, Yaounde General Hospital Yaounde, Cameroun
3Department of VascularSurgery, St.Franziskus Hospital Münster, Germany
Corresponding author : Marcus Fokou
Department of Vascular and Endovascular Surgery, Münster Universty Hospital, Münster, Germany
E-mail: mfokou@yahoo.com
Received: June 25, 2014 Accepted: August 20, 2014 Published: August 22, 2014
Citation: Fokou M, Donas KP, Austermann M, Schwindt A, Torsello G (2014) Use of Tube Stent-Grafts Combined with the Chimney Technique in Juxtarenal Saccular Aortic Aneurysms with Sufficient Distal Neck. Int J Cardiovasc Res 3:6. doi:10.4172/2324-8602.1000186

Abstract

Use of Tube Stent-Grafts Combined with the Chimney Technique in Juxtarenal Saccular Aortic Aneurysms with Sufficient Distal Neck

Purpose: To present the utility of the chimney technique combined with tube grafts in the management of juxtarenal aortic aneurysms (JAAAs) of saccular shape with long distal neck. Case reports: Three patients, one female and two males presented with symptomatic JAAAs. The CT angiography reveled saccular JAAAs with a proximal neck of < 9 mm and a distal neck with > 20mm in all cases. The therapeutic approach was based on the morphologic characteristics of the aneurysms with placement of triple tube grafts in each case. Use of chimney technique was preferred due to the need for urgent treatment. The patients were treated successfully. No persistent endoleak occurred during the mean follow up of 30.5 months. Conclusion: Properly selected aneurysms with short proximal and long distal neck can be treated with tube endografts in combination with the chimney procedure. This approach may be beneficial for urgent treatment.

Keywords: Chimney Technique; Juxtarenal Saccular Aortic Aneurysms; Stent-Grafts

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