Transaxillary TEVAR with an in situ fenestrated Endurant tube endograft for a ruptured thoracoabdominal aortic aneurysm

This patient was admitted at Athens Medical Center with a contained rupture of the thoracoabdominal aorta. The CT scan revealed complete occlusion of the infrarenal aorta with collateralisation of the profunda arteries at both sites through the SMA and the Riolan anastomosis. In his previous history, the patient was treated with an aortobifemoral bypass for Leriche syndrome (2008) with graft infection (2010) and replacement of the aorta with femoral veins (2010). We planned a transaxillary TEVAR (diameter of proximal left axillary artery: 6.5cm) and triple puncture of the right axillary artery.