Fenestrated-branch endovascular repair (FEVAR) for para-anastomotic huge aortic pseudo-aneurysm: Case report
Year: 2025
Type: article
Study design: Case Report
Abstract: INTRODUCTION AND IMPORTANCE: Anastomotic aortic pseudoaneurysm is a rare, late, and fatal complication after open surgery to repair an abdominal aneurysm. Treatment can be challenging in complex cases, especially renal and visceral arteries. A common solution is the fenestrated endograft, which has branches that accommodate these vital vessels. Sometimes, due to the position of the pseudoaneurysm and its proximity to visceral arteries, especially renal arteries, open repair would be challenging; therefore, an endovascular approach could be a safer option. CASE PRESENTATION: A patient was admitted 10 years after open surgical repair of an abdominal aortic aneurysm. The pseudoaneurysm was successfully treated with a four-fenestration endovascular repair (fEVAR) extending to the previous abdominal tube graft, and the patient recovered well. CLINICAL DISCUSSION: Para-anastomotic aortic pseudoaneurysms are rare but challenging, demanding complicated management due to visceral artery involvement. Treatment options include open repair, endovascular techniques (e.g., fEVAR or stent grafts), and minimally invasive approaches such as thrombin injection, with case studies indicating successful results. Still, there is limited evidence available on optimal strategies. CONCLUSION: Fenestrated endovascular aortic repair after previous open surgery is associated with low perioperative complications and reasonable medium-term survival rates.
Institutions: Sina Hospital, Tehran University of Medical Sciences
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,090
OpenAlex ID: W4413970735