# Endovascular Treatment of a Multi-visceral Aortic Conduit Blowout With Parallel Stent Grafts and Coils

## TL;DR

This paper describes a successful endovascular treatment for a life-threatening complication in a complex organ transplant surgery.

## Contribution

The novel approach combines parallel stent grafts and coils to salvage a multi-visceral aortic conduit blowout without removing the transplanted organs.

## Key findings

- Endovascular repair with parallel stent grafts and coils controlled bleeding effectively.
- The method preserved graft perfusion and avoided sacrificing the transplanted viscera.
- This approach is a viable alternative to open surgery in a high-risk, complex scenario.

## Abstract

Multi-visceral transplantation (MVT) is a complex surgical procedure involving the transplantation of multiple abdominal organs as a single unit, typically used as bailout treatment of patients with devastating abdominal pathologies. Due to the complexity of the procedure, major and even life-threatening complications can happen. Vascular complications, including anastomotic breakdowns or pseudoaneurysms due to infections, can be universally lethal. Open surgical repair is often not an option due to the hostile operative field. We report a case of endovascular salvage of multi-visceral aortic conduit blowout utilizing parallel stent grafts and coils without sacrifice of the transplanted viscera. This combination can successfully control bleeding and maintain graft perfusion in this rare but devastating complication.