UMMS Affiliation

UMass Memorial Center for Complex Aortic Disease; Department of Surgery, Division of Vascular and Endovascular Surgery

Publication Date


Document Type



Cardiovascular Diseases | Health Services Administration | Surgery | Surgical Procedures, Operative


Two patients with a history of open type II thoracoabdominal aortic aneurysm repair presented with saccular aneurysmal degeneration of the Carrel patch. The degenerated segments measured 6.2 cm and 7.4 cm, respectively, and involved the celiac artery, superior mesenteric artery, and right renal artery. Both patients successfully underwent a custom fenestrated-branched endovascular aneurysm repair with downgoing branches to the celiac artery, superior mesenteric artery, and right renal artery and a stented fenestration to the left renal artery. Completion angiography demonstrated no endoleak and patent visceral-renal segments. Both patients were discharged home on postoperative day 2.


Aneurysm, Carrel patch, Fenestrated

Rights and Permissions

Copyright © 2019 The Authors. This is an open access article under the CC BY-NC-ND license (

DOI of Published Version



J Vasc Surg Cases Innov Tech. 2019 Apr 28;5(2):117-121. doi: 10.1016/j.jvscit.2018.12.006. eCollection 2019 Jun. Link to article on publisher's site

Journal/Book/Conference Title

Journal of vascular surgery cases and innovative techniques

Related Resources

Link to Article in PubMed

PubMed ID


Creative Commons License

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



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