case_images: PMC11626534_01
case_images: Preoperative centerline imaging of prior fenestrated repair.
case_images: gr1.jpg
case_images: PMC11626534_01_gr1.jpg
case_images: fig1
case_images: During outpatient surveillance, he was noted to have degeneration of the aorta proximal to the level of his fenestrated repair, now with an extent III thoracoabdominal aneurysm, with a maximal diameter of 5.8 cm at the level of the celiac artery (Fig 1).
case_images: Completion imaging after cannulation and deployment of proximal graft into prior fenestrated endovascular aortic aneurysm repair (EVAR).
case_images: gr2.jpg
case_images: PMC11626534_01_gr2.jpg
case_images: fig2
case_images: IA endoleak (Fig 2). Intravascular ultrasound examination revealed the thoracic aorta to be 35 to 38 mm proximal to the TAMBE device, so the decision was made to place a 45 mm x 10 cm Conformable Thoracic Aortic Graft (W.
case_images: Final case completion imaging, showing patent bilateral renal artery stents and no evidence of a distal endoleak.
case_images: gr3.jpg
case_images: PMC11626534_01_gr3.jpg
case_images: fig3
case_images: A final completion angiogram revealed no evidence of endoleak and filling of the celiac, superior mesenteric, and bilateral renal artery branches (Fig 3). Access sites were closed with preplaced closure devices and the patient was extubated successfully and taken to the recovery unit.