Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our center
BACKGROUND: Symptomatic or ruptured juxta-renal aortic aneurysms can be managed through open surgical repair or endovascular approaches, including chimney endovascular aortic repair (chEVAR), off-the-shelf branched devices, or physician-modified endograft (PMEG). PMEG has proven to be a feasible al...
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| Format: | Article |
| Language: | Portuguese |
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Sociedade Portuguesa de Angiologia e Cirurgia Vascular
2025-01-01
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| Series: | Angiologia e Cirurgia Vascular |
| Online Access: | https://acvjournal.com/index.php/acv/article/view/639 |
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| author | Henrique Guedes da Rocha Luís Loureiro Sérgio Teixeira Carolina Vaz Rui Machado |
| author_facet | Henrique Guedes da Rocha Luís Loureiro Sérgio Teixeira Carolina Vaz Rui Machado |
| author_sort | Henrique Guedes da Rocha |
| collection | DOAJ |
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BACKGROUND: Symptomatic or ruptured juxta-renal aortic aneurysms can be managed through open surgical repair or endovascular approaches, including chimney endovascular aortic repair (chEVAR), off-the-shelf branched devices, or physician-modified endograft (PMEG). PMEG has proven to be a feasible alternative with satisfactory long-term outcomes for such conditions.
CASE REPORT: We document the inaugural case of PMEG performed at our center for a 69-year-old man with a symptomatic juxta-renal aortic aneurysm. This custom-made device included fenestrations for renal arteries and a scallop for the superior mesenteric artery. The patient was discharged home on the ninth postoperative day. A six-month follow-up CTA confirmed the AAA's exclusion, with maintained patency of all visceral vessels and no evidence of endoleak.
CONCLUSION: The complexity of the PMEG procedure varies based on the surgeon’s expertise and the patient’s anatomical challenges. This underscores the importance of meticulous patient selection, a process that ensures the safety and success of the procedure.
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| format | Article |
| id | doaj-art-013bbece103c4b93bfd25297ebc50e33 |
| institution | Kabale University |
| issn | 1646-706X 2183-0096 |
| language | Portuguese |
| publishDate | 2025-01-01 |
| publisher | Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
| record_format | Article |
| series | Angiologia e Cirurgia Vascular |
| spelling | doaj-art-013bbece103c4b93bfd25297ebc50e332025-01-29T23:20:59ZporSociedade Portuguesa de Angiologia e Cirurgia VascularAngiologia e Cirurgia Vascular1646-706X2183-00962025-01-0120310.48750/acv.639Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our centerHenrique Guedes da Rocha0Luís Loureiro1Sérgio Teixeira2Carolina Vaz3Rui Machado4Department of Angiology and Vascular Surgery, Unidade Local de Saúde de Santo António, Porto, PortugalDepartment of Angiology and Vascular Surgery, Unidade Local de Saúde de Santo António, Porto, PortugalDepartment of Angiology and Vascular Surgery, Unidade Local de Saúde de Santo António, Porto, PortugalDepartment of Angiology and Vascular Surgery, Unidade Local de Saúde de Santo António, Porto, PortugalDepartment of Angiology and Vascular Surgery, Unidade Local de Saúde de Santo António, Porto, Portugal BACKGROUND: Symptomatic or ruptured juxta-renal aortic aneurysms can be managed through open surgical repair or endovascular approaches, including chimney endovascular aortic repair (chEVAR), off-the-shelf branched devices, or physician-modified endograft (PMEG). PMEG has proven to be a feasible alternative with satisfactory long-term outcomes for such conditions. CASE REPORT: We document the inaugural case of PMEG performed at our center for a 69-year-old man with a symptomatic juxta-renal aortic aneurysm. This custom-made device included fenestrations for renal arteries and a scallop for the superior mesenteric artery. The patient was discharged home on the ninth postoperative day. A six-month follow-up CTA confirmed the AAA's exclusion, with maintained patency of all visceral vessels and no evidence of endoleak. CONCLUSION: The complexity of the PMEG procedure varies based on the surgeon’s expertise and the patient’s anatomical challenges. This underscores the importance of meticulous patient selection, a process that ensures the safety and success of the procedure. https://acvjournal.com/index.php/acv/article/view/639 |
| spellingShingle | Henrique Guedes da Rocha Luís Loureiro Sérgio Teixeira Carolina Vaz Rui Machado Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our center Angiologia e Cirurgia Vascular |
| title | Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our center |
| title_full | Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our center |
| title_fullStr | Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our center |
| title_full_unstemmed | Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our center |
| title_short | Physician modified endograft to treat a symptomatic juxta-renal aortic aneurysm: report of the first case at our center |
| title_sort | physician modified endograft to treat a symptomatic juxta renal aortic aneurysm report of the first case at our center |
| url | https://acvjournal.com/index.php/acv/article/view/639 |
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