横井　良彦    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position
Article types	Case report
Language	English
Peer review	Peer reviewed
Title	Therapeutic Strategies for Infectious Multiple Aortic Aneurysms: Thoracoabdominal Aortic Aneurysm Treatment Using a Fenestrated Stent-Graft
Journal	Formal name：Annals of vascular diseases. Abbreviation：Ann Vasc Dis ISSN code：1881641X/18816428
Domestic / Foregin	Foregin
Volume, Issue, Page	13(3),pp.326-329
Author and coauthor	Okugi Satoshi†, AZUMA Takashi, YOKOI Yoshihiko, Domoto Satoru, Niinami Hiroshi
Publication date	2020/09/25
Summary	Recently, it has been reported that a fenestrated stent graft is an effective option in the treatment of pararenal artery abdominal aortic aneurysm. We report the case of a 72-year-old male patient with multiple aortic aneurysms in the distal arch, thoracoabdominal aorta, right common iliac artery, as well as a pararenal abdominal aortic aneurysm. The patient was found to have a mass with a tendency of rapid expansion within a month from its discovery. Because it was a saccular aneurysm with a tendency of rapid expansion and wide spread, the risk of rupture was judged to be high, and surgical treatment became necessary. One-stage treatment was desirable; therefore, endovascular treatment with a fenestrated stent graft was selected. Four fenestrations were made to a stent graft for the celiac artery, superior mesenteric artery, and bilateral renal arteries. The postoperative computed tomography (CT) showed no branch occlusion or endoleak, and the 2-year postoperative CT showed the shrinkage and subsequent disappearance of the aortic aneurysm at the treatment site. For extensive aortic aneurysm, including pararenal artery abdominal aortic aneurysms, one-stage treatment with fenestrated stent graft was considered to be effective as a treatment strategy. (This is a translation of Jpn J Vasc Surg 2020; 29: 9-13.).
DOI	10.3400/avd.cr.20-00032.
PMID	33384740