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Endovascular Repair of an Aortic Arch Aneurysm with Triple Chimney Stent Grafts: A Case Report
Oscar A Mendiz1, Hugo Fraguas1, Carlos M Fava1
1Department of Interventional Cardiology and Cardiovascular Surgery, Hospital Universitario, Fundación Favaloro, Buenos Aires, Argentina.
Abstract:
The treatment of an aortic arch aneurysm in high-risk individuals poses a significant challenge. We present a surgical patient with a patent left internal mammary artery (LIMA) graft and a large aortic arch aneurysm who underwent aortic stent-graft implantation and complete endovascular branching to preserve the LIMA inflow, with successful exclusion of the aneurysm. A moderate flow, proximal type I endoleak was observed after deployment that disappeared at 2-year follow-up.

