Surgeon-modified fenestrated endograft to treat ruptured juxtarenal aneurysm.

Abstract in brief

• The article discusses a successful urgent endovascular repair of a ruptured juxtarenal abdominal aortic aneurysm using a surgeon-modified fenestrated endograft, highlighting the limited availability of specialized devices in the U.S. and the use of advanced imaging techniques.
• The patient, an 82-year-old man with multiple health issues and on blood thinners, underwent the procedure with a smooth recovery, early return to baseline function, and positive short-term outcomes, including reduced aneurysm size and no signs of complications.
• The case suggests that surgeon-modified fenestrated stent grafts could be a promising option for high-risk patients with complex aneurysms who need urgent treatment, especially when standard devices are not available.