EJVES Extra Abstract| Volume 44, ISSUE 4, P461, October 2012

A Custom-made Endovascular Treatment Strategy in a Patient with Marfan's Disease

Open ArchivePublished:July 09, 2012DOI:
      Introduction: We present a young female with Marfan's Syndrome and aortic dilatation between two previous dacron grafts of the descending thoracic and abdominal aorta after type B dissection.
      Report: Open retrograde visceral revascularisation was undertaken and a single bespoke stent-graft used to exclude the aneurysm. A custom-made stent overcame some of the limitations of standard devices. A 50 mm proximal stent diameter was used to seal the landing zone in the dilated dacron thoracic graft.
      Discussion: A single custom-made stent avoided multiple stent requirements to accommodate significant proximal/distal size discrepancy and reduced risk of type III endoleak in this young patient with complex disease.

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