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Physician-Modified Endograft With Triple Inner Branches for Extensive Aortic Arch Aneurysm
Yu Zhang1, Jiayu Shen1, Peng Yang1
1Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, P.R. China.
Summary
Physician-modified endografts (PMEG) with inner branches offer a feasible solution for complex aortic arch aneurysms. This technique provides a viable option for high-risk patients unsuitable for open surgery.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Aortic Aneurysm Repair
Background:
- Extensive aortic arch aneurysms involving supra-aortic vessels pose significant surgical challenges.
- Traditional open repair carries high risks, especially in elderly or comorbid patients.
Observation:
- A 69-year-old male with an extensive aortic arch aneurysm underwent a novel endovascular repair.
- A thoracic stent graft was modified on the back table to incorporate three inner branches.
Findings:
- The physician-modified endograft (PMEG) procedure was technically successful.
- The patient experienced no complications and was discharged following the intervention.
Implications:
- Back-table modification of off-the-shelf endografts is a feasible and attractive option for complex aortic arch pathologies.
- This approach offers a less invasive alternative for patients deemed too high-risk for conventional open surgery.
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