Tips and tricks about surgeon-modified fenestrated stent grafting for celiac truncus

Hakkı Zafer İşcan

doi:10.5606/tgkdc.dergisi.2023.23691

Hakkı Zafer İşcan¹, Naim Boran Tümer¹, Hayrettin Levent Mavioğlu¹

¹Department of Cardiovascular Surgery, Ankara City Hospital, Ankara, Türkiye

DOI : 10.5606/tgkdc.dergisi.2023.23691

Currently, thoracic endovascular aortic repair is usually the first-line treatment option for descending aortic pathologies. Supra-aortic or visceral branches sometimes involve assistive thoracic endovascular aortic repair techniques; hybrid procedures or intentional coverage may be performed during the procedure to achieve a sufficient proximal or distal landing zone. Most surgeons may agree on selective coverage of celiac truncus, but revascularization is preferred to reduce the risk of ischemic complications. Herein, we present the first successful surgeonmodified fenestrated stent graft procedure for celiac truncus in a patient with Crawford type V descending aortic aneurysm in Türkiye.

Keywords : Ankura? thoracic stent graft, celiac truncus, thoracic endovascular aortic repair, Surgeon-modified fenestration stent grafting

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