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  • Title: Treatment of a ruptured thoracoabdominal aneurysm with a stent-graft covering the celiac axis.
    Author: Jorna FH, Verhoeven EL, Bos WT, Prins TR, Dol JA, Reijnen MM.
    Journal: J Endovasc Ther; 2006 Dec; 13(6):770-4. PubMed ID: 17154709.
    Abstract:
    PURPOSE: To present a case of successful emergency endovascular repair of a ruptured, probably mycotic, thoracoabdominal aortic aneurysm (TAAA) with a stent-graft deliberately covering the celiac axis. CASE REPORT: A 79-year-old woman with significant pulmonary comorbidity presented with a ruptured mycotic TAAA extending to the celiac axis. The aneurysm was excluded with a stent-graft soaked in rifampicin and deployed to deliberately occlude the celiac axis for effective distal sealing and fixation. The patient recovered well and was prescribed antibiotic treatment for up to 6 months. CONCLUSION: Endovascular repair of a ruptured TAAA may be a life-saving option. In emergency situations when poor distal anatomy is present, covering the celiac artery with the stent-graft should be considered.
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