Fenestrated Stent Graft for Contained Ruptured Type IV Thoraco-Abdominal Aortic Aneurysm

Abstract 

We present a successful emergency repair of a contained rupture of a type IV thoraco-abdominal aortic aneurysm using a fenestrated stent graft. This case describes a rupture of a thoraco-abdominal aneurysm whilst the patient awaited manufacture of his custom-fenestrated endograft. Following rupture, he was transferred to our unit from his base hospital, the graft was sourced and implanted 24h post rupture.

Fenestrated stent grafting of ruptured aneurysms is feasible. Wide application of this technique is likely to remain limited due to stent-graft availability and preoperative stability.

Keywords: Fenestrated, Aneurysm, AAA, EVAR