Experience with a Fenestrated Stent Graft. A Case Report

In this presentation we describe the first case of a juxtarenal aortic aneurysm treated in our country by placing an endograft with multiple fenestrations. This is a high surgical risk patient due to clinical comorbidities, to whom under regional anesthesia was placed an endograft with fenestrations to preserve the blood flow to the celiac trunk, superior mesenteric artery and both renal arteries. The procedure was successful with complete exclusion of the aneurysm. The first postoperative control showed exclusion of aneurysm with adequate patency of the visceral branches. In patients with juxtarenal abdominal aortic aneurysm, the normal segment of infrarenal aorta necessary to obtain the proximal anchoring endograft is insufficient or lacking, for what with traditional endografts, there is no possibility of sealing or excluding the aneurysm. For this reason, in recent years, endografts with fenestrations (orifices) have been used for the preservation of visceral and renal branches as a valid and less invasive therapeutic alternative.En los pacientes con un aneurisma de la aorta abdominal yuxtarrenal, el segmento normal de aorta infrarrenal necesario para lograr el anclaje proximal de una endoprótesis es insuficiente o inexistente, por lo que con las endoprótesis tradicionales no existe la posibilidad de sellar o excluir el aneurisma. Por este motivo, en los últimos años se han utilizado endoprótesis con fenestraciones (orificios) para la preservación de los ramos viscerales y renales como alternativa válida y menos invasiva