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 language | English (US) |
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Pages (from-to) | 636-641 |
Number of pages | 6 |
Journal | Journal of Endovascular Therapy |
Volume | 28 |
Issue number | 4 |
DOIs | |
State | Published - Aug 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