Successful endovascular repair of juxtarenal and suprarenal aortic aneurysms with a branched stent graft

This case report describes a nem technique for repairing pararenal aortic a neurysms with a transluminally placed triple-branched stent graft with side arms extending into the superior mesenteric artery and renal arteries. Endo vascular repair with the branched stent graft was attempted in two patients with a pararenal aortic aneurysm. Stent grafting was technically successfu l in both patients. Although postoperative transient renal function impairm ent and paralytic ileus occurred in patient 2, these complications were gra dually resolved in the perioperative period. A substantial shrinkage of the aneurysm was revealed by means of computed tomographic measurements in pat ient 1. In both patients, complete exclusion of the aneurysm and patency of the bilateral renal arteries and the superior mesenteric artery were confi rmed by means of followup computed tomographic images at 2 years. This mini mally invasive approach for pararenal aortic aneurysms appears to be a viab le therapeutic option for patients who are at high risk for open surgery.