The chimney procedure is an emergently available endovascular solution for visceral aortic aneurysm rupture.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21276684.
- Also identified by DOI 10.1016/j.jvs.2010.11.097.
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Abstract
A 79-year-old woman presented with a ruptured saccular thoracoabdominal aortic aneurysm involving the celiac and mesenteric artery. The patient was unfit for open surgical repair. A "chimney" procedure was performed, which involved placement of stents in the aortic side branches alongside the endograft. The patient underwent another chimney procedure 2 weeks later for a type I endoleak. Computed tomography angiography (CTA) at 1 and 6 months showed a good result with no endoleaks or graft migration. The chimney procedure provides an alternative for emergency patients unfit for open repair and has the advantage that stents can be used that are already available in most institutions.
Medical subject headings
- Aortic Aneurysm, Thoracic
- Aortic Rupture
- Blood Vessel Prosthesis Implantation
- Endovascular Procedures