challenging aortic aneurysm cases

Complex aortic cases

Mo HamadyImperial College-London

A 63-year-old femaleKnown Marfan’sHistory of type A dissectionHistory of interposition graft/valve replacementEvidence of pulmonary hypertensionExpanding thoracic aneurysm (6.8cm)

A 55-year-old female with 5.8cm PAU

Custom- made stent graft

77 y.o male post TEVAR &EVARmultiple endoleaks & expanding sacs

8.9cm

6.5cm

Type II Endoleak IMA

A 55-year-old maleHistory of type B TAD treated with TEVARComplex cardiac history

Aortic valve repair through midline sternotomyRecent presentation with expanding TAAA

8.1cm (corrected measurement)Partial false lumen thrombosisSlightly aneurysmal AA (4.5cm)

Pre contrast Post contrast

A 38-year-old femaleKnown marfan’s syndromeComplex surgical history

Previous type A dissection ascending repairPrevious partial hybrid revascularisation in outside centre (CT & SMA)+ left renal stent

Recent presentation with expanding TAAA and AAA

Underwent complete revascularisationPost op type II endoleak

ROBOTIC CANNULATION- HYBRID GRAFT

Imperial CollegeLondon

THE MAGELLAN VASCULAR SYSTEM

THANK YOU

A 77-year-old maleChest pain and sweatingUncontrolled high blood pressure on 3 medicationsMedical history: chronic Kd disease

Before IR

After IR