A Novel Endovascular Technique for Exclusion of Inner Curve Aortic Arch Aneurysm

Abstract 

We present a case of a 78-year-old gentleman who was found to have a large saccular aneurysm of the inner aortic arch after complaining of change in the character of his voice. This lesion was successfully excluded using purely fenestrated endovascular techniques without compromising the origins of supra-aortic vessels. A novel technique with modification of fenestrated design was used to ensure accurate placement of the custom-made endograft. This technique has not been published before.

Keywords: Aortic arch aneurysm, Bovine arch, Endovascular arch repair