Extraanatomic Visceral Bypass for Consecutive Endovascular Treatment of a Thoracoabdominal Aortic Aneurysm

Abstract Endovascular stent-graft placement is an accepted treatment for various diseases of the thoracic aorta. However, visceral rerouting, in order to gain sufficient distal length to safely deploy the stent-graft in patients with distal aneurysm extension, has not been reported often in the literature. We report on the case of an 82-year-old patient with two aneurysms of the descending aorta and involvement of the celiac trunk. The patient was treated by an autologous renal to hepatic artery bypass and consecutive stent-graft placement. In selected patients, extraanatomic visceral bypass and consecutive stent-graft placement can be a less invasive alternative to conventional approaches.