Juxtarenal abdominal aortic aneurysms in patients who are poor candidates for open repair present a challenge for the treating surgeon. With fenestrated aortic endografts currently not readily accessible, the alternative option would be aortic endograft using a “chimney” technique. We present a case report of an 84-year-old female who is a poor surgical candidate, presenting with symptomatic juxtarenal abdominal aortic aneurysm involving the left renal artery. Satisfactory repair was performed using an Endologix Powerlink endograft with chimney technique for the left renal artery. To our knowledge this is the second report of chimney graft using the Endologix Powerlink system.
Kfoury E, Millendez M, Hashemi H, Kaminsky AJ, Mukherjee D. “Chimney” graft technique for juxtarenal AAA using unibody bifurcated stent graft. Vascular Disease Management, 2013, 10 (3), E59-E62.