Originally Broadcast LIVE on 2/12/2019 at 9 AM CST/10 EST - Submitted questions will no longer be addressed by surgeon.

Dr. Adam Beck treats one of the most challenging clinical problems that vascular surgeons face - a thoracoabdominal aneurysm. The aortic anatomy associated with thoracoabdominal aneurysms precludes the use of commercially available endovascular devices for treatment, yet Dr. Beck is able to provide interventions for these patients with custom endovascular devices that are tailored to each individual patient's anatomy.

At the University of Alabama at Birmingham, Division of Vascular Surgery and Endovascular Therapy, Dr. Beck employs 3D overlay CT fusion technology to implant these custom devices and will also discuss device design, patient preparation and procedural planning.

Case Details:
Patient is a 70yo woman with a past medical history of Debakey IIIb dissection and aneurysmal degeneration of the thoracoabdominal aorta. She has previously had a thoracic endograft placed for symptoms related to her aneurysm, which alleviated her pain. She has had further aneurysmal degeneration of the paravisceral portion of her aorta. Due to multiple medical comorbidities and the location of her disease, she is felt to be high risk for an open aortic reconstruction. We have designed a custom made fenestrated endograft for her anatomy with fenestrations for the Celiac, Superior Mesenteric and Right Renal arteries. Dr. Beck will utilize 3-dimensional overlay imaging to facilitate this repair and will perform the procedure through a percutaneous approach.