Cinematic rendering in vascular imaging: Abdominal aortic aneurysm (AAA) treated with fenestrated endovascular aortic repair (FEVAR)

Georg Hagleitner,Peter Pichler,Paul Kiblböck,Franz A Fellner

doi:10.15761/jts.1000427

Abstract

Cinematic rendering in vascular imaging: Abdominal aortic aneurysm (AAA) treated with fenestrated endovascular aortic repair (FEVAR)

Highlights

abdominal aortic aneurysms (AAA) are defined as a widening of the abdominal aorta above 3,0 cm or more and occur with a prevalence of 4-7,2% in screening studies [1]
Ultrasound screening is recommended in populations with increased risk for the development of an AAA [1,2,3]
Since the 12-month AAA rupture risk is < 1 % in aneurysm diameters < 50 mm, aneurysm repair should be considered in patients with an AAA diameter > 50 mm [1]

Summary

Introduction

AAAs are defined as a widening of the abdominal aorta above 3,0 cm or more and occur with a prevalence of 4-7,2% in screening studies [1]. In the last few years, FEVAR has been established as an important option for the treatment of complex AAAs with involvement of the celiac trunk, the superior mesenteric artery and the renal arteries [3]. In this procedure, endovascular repair includes the implantation of stent grafts in the involved visceral and/or renal vessels through so-called fenestrations in the main body stent graft. We present a case of a 78-year old male patient with an AAA involving the celiac trunk, the superior mesenteric artery and the renal vessels. The patient was discharged in good general condition on the 7th postoperative day

Discussion

Conclusion