Visceral artery aneurysm (VAA) is a relatively uncommon disorder and it shows some vague symptoms. Therefore, the clinical diagnosis is difficult and these aneurysms are discovered and diagnosed only after rupture in many cases. This case report describes the history of a woman who had a superior mesenteric artery (SMA) branch aneurysm. A 62-year-old woman presented with fatigue and moderate to...

ObjectiveHigh rates of midterm failure the Nellix EndoVascular Aneurysm Sealing (EVAS) System resulted in device withdrawal from UK market. The study aim was to report long term EVAS outcomes and management a failing device.MethodsA retrospective review procedures at tertiary unit performed. Device defined as triad stent migration, separation, secondary sac expansion, or any intervention for ty...

There have been significant technologic advances in endovascular aortic therapies since the introduction of conventional infrarenal aneurysm repair (EVAR). These sought to address weaknesses EVAR- particularly difficult or “hostile” neck. We review anatomical features that create a hostile neck and most recent advancements overcome these limitations. EndoAnchors replicate open suture fixation s...

We report a case of infolding of a fenestrated stent graft involving the visceral vessel segment after a juxtarenal abdominal aorta aneurysm repair. The patient remains free of any significant endoleak, and the aortic sac has shown regression. The patient remains asymptomatic, with no abdominal pain, with normal renal function, and without ischemic limb complications. We hypothesize that signif...

Endovascular aneurysm repair (EVAR) of ruptured thoracoabdominal aortic aneurysms may be compromised or even impossible due to short proximal and/or distal necks or landing zones, respectively. Supra-aortic branches may limit the proximal anchorage and visceral or renal arteries the distal anchorage of endografts. While solutions have been proposed to overcome the problem of a short proximal ne...

A 46-year-old female patient was admitted to the emergency room with the sudden onset of abdominal pain, back pain, and paresthesia in the right leg. An emergent chest computed tomography (CT) showed an acute Type B aortic dissection. An emergency thoracic endovascular aneurysm repair (TEVAR) procedure was subsequently performed, for an evolving visceral malperfusion syndrome. We performed the ...