ArticleJournal of vascular surgery cases and innovative techniques2026
Endovascular innovation in a hostile abdomen: Repairing aortic rupture with a physician-modified endograft.
Article in Journal of vascular surgery cases and innovative techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Emergent endovascular aneurysm repair is challenging in cases with unfavorable anatomy. We describe a patient with prior small bowel transplants dependent on a hypertrophic inferior mesenteric artery and a right common iliac to superior mesenteric artery bypass presenting with contained infrarenal aortic rupture. Emergent repair used two physician-modified endografts: a Gore Excluder C3 with a fenestration for the inferior mesenteric artery and an excluder limb with a single fenestration for the iliac to superior mesenteric artery bypass. Both fenestrations were stented, with postoperative imaging confirming patency. This case highlights the adaptability of physician-modified endografts, emphasizing the value of individualized device planning.
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