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Chirurgia 2012 December;25(6):475-8

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Chimney graft technique for the treatment of a ruptured mycotic aneurysm involving the visceral segment of abdominal aorta

Varcoe R. L. 1, 2, Lennox A. F. 1

1 Department of Surgery, Prince of Wales Hospital, Sydney, Australia; 2 University of New South Wales, Sydney, Australia


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Ruptured mycotic aneurysms of the aorta are a particularly challenging condition to treat. They represent a malignant and unstable pathology which result in high associated mortality. We present a case of a totally percutaneous endovascular solution for a ruptured mycotic peri-visceral abdominal aortic aneurysm in an obese, immunosuppressed patient with multiple comorbidities who was not a candidate for open surgery. Chimney grafts were used to run in parallel to a tapered aortic stent-graft and maintain visceral perfusion with the aim of sealing the aneurysm. This represents one off-the-shelf solution for this vexing aortic syndrome.

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