The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Endovascular Repair of a Juxtarenal Abdominal Aortic Aneurysm Using a Chimney Graft

신동맥에 접한 복부대동맥류에서 굴뚝형 이식편을 이용한 혈관내 치료

  • Kim, Darae (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Ko, Young-Guk (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Do-Yun (Department of Radiology, Yonsei University College of Medicine) ;
  • Choi, Donghoon (Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine)
  • 김다래 (연세대학교 의과대학 내과학교실 심장내과) ;
  • 고영국 (연세대학교 의과대학 내과학교실 심장내과) ;
  • 이도연 (연세대학교 의과대학 영상의학교실) ;
  • 최동훈 (연세대학교 의과대학 내과학교실 심장내과)
  • Received : 2012.12.31
  • Accepted : 2013.03.06
  • Published : 2014.02.01
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Abstract

An endovascular repair of an abdominal aortic aneurysm (AAA) is technically less invasive than open surgery, but gives results as effective as open surgery if the anatomy is adequate. Unfortunately, 20-30% of AAA patients are not suitable for endovascular repair because they lack a sufficient proximal landing zone. In an effort to broaden the applicability of endovascular repair, the chimney technique has been introduced. This refers to deployment of a covered or bare-metal stent parallel to the main aortic endograft within the aneurysm, creating a conduit that runs outside the main aortic endograft into the aortic branches. We report the case of a 75-year-old male with a juxtarenal abdominal aortic aneurysm and multiple comorbidities who was treated successfully with an endovascular aneurysm repair using a chimney graft.

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References

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