Related Experiment Video
Updated: Jul 12, 2026
Surgical Tips and Tricks for Performing Porcine Pancreas Transplantation
Published on: July 20, 2022
Endovascular repair of perisplanchnic abdominal aortic aneurysm with visceral vessel transposition
J A Macierewicz1, M M Jameel, S C Whitaker
1Department of Vascular and Endovascular Surgery, Queen's Medical Centre, Nottingham, England, UK. jasionek@aol.com
Purpose:
To report a combined endoluminal and open surgical approach for a suprarenal abdominal aortic aneurysm (AAA) with coexistent splanchnic vessel stenoses.
Methods And Results:
A 64-year-old man presented with an aneurysm of the proximal abdominal aorta and severe stenoses of the celiac axis and superior mesenteric artery (SMA). An initial 2-stage plan to stent the visceral vessel stenoses and exclude the aneurysm with a fenestrated stent-graft failed when the celiac lesion could not be crossed. The approach was changed to restore visceral perfusion with a bifurcated left iliosplenic and ilio-SMA bypass graft. Exclusion of the aneurysm was achieved with a custom-made suprarenal aortic tube stent-graft (Ivancev-Malmö) system. The patient is free of symptoms at 22 months, and there was no aneurysm visible on the 14-month CT scan.
Conclusions:
Hybrid techniques are an alternative treatment for complex perivisceral aortic aneurysms when total endovascular reconstruction is not possible.
