Incorporation of Celiomesenteric Trunk With Double Kissing Directional Branches During Fenestrated-Branched Endovascular Aortic Repair

Giulianna B. Marcondes, Emanuel R. Tenorio, Guilherme B. Lima, Bernardo Mendes, Naveed Saqib, Sophia Khan, Thanila A. Macedo, Hansoo Lee, Gustavo S. Oderich

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Common celiomesenteric trunk (CMT) is a rare anatomical variation that occurs in 0.5% to 3.4% of the general population. Its presence may complicate planning and implantation of fenestrated and branched stent-grafts because the wide diameter and short length of the CMT to its bifurcation does not allow sufficient sealing for placement of bridging stents. Case Report: We report a patient with thoracoabdominal aortic aneurysm (TAAA) and CMT treated by fenestrated-branched endovascular aortic repair (FB-EVAR) using double kissing directional branches to incorporate the celiac axis and superior mesenteric artery. Pitfalls of stent design and implantation are outlined. Conclusion: Double kissing directional branches should be considered as an alternative to incorporate vessels with early bifurcation such as a CMT.

Original languageEnglish (US)
JournalJournal of Endovascular Therapy
DOIs
StateAccepted/In press - 2021

Keywords

  • anatomical variation
  • celiomesenteric trunk
  • endovascular repair
  • fenestrated-branched endovascular aneurysm repair
  • fenestrated-branched repair
  • thoracoabdominal aortic aneurysm
  • visceral anatomic variation

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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