Transluminal thrombin injection and exclusion of a paramesenteric abdominal aortic aneurysm

Surgical repair of aortic aneurysms involving the visceral arteries carries high morbidity and mortality in poor surgical candidates. With current technology, visceral artery involvement generally precludes endovascular repair of aortic aneurysms. We report on a patient with a large abdominal aortic pseudoaneurysm involving the origin of the superior mesenteric artery. This aneurysm was successfully repaired by transluminal thrombin injection of the sac and exclusion with balloon expandable covered stents placed in the aorta.