 فيما يأتي لنا مع المشاك بشجعات المساكين لا يستطيع إتهاء بشكل جيدا على تجميع التجميع she was diagnosed to be having an aortic aneurysm ما هو ذلك ؟ it's the main blood vessel of the body which actually arises from the heart and then brings the blood down to the kidneys to the intestine and goes down to both the lower limb so because of various factors this blood vessel may become weak enlarging it then it is prone to rupture so if it ruptures it is a life threatening situation so she was diagnosed with this it was having some pressure symptoms the peculiar part about this case was that this aneurysm was present in the area where the main visceral arteries arise which means that the arteries to the kidneys both the kidneys to the intestine in this area if this aneurysm is present then it's a critical area to manage because if it's in this area it's easily manageable so what happened is that if it is below the renal arteries then we can place in a stint below this and this is a straight forward procedure but when it is present in the area of the all the visceral arteries then we have to place a tube through the groin we came from the upper limb brought in the tube graft from the lower limbs and the peculiar part was that to all the three visceral arteries that is the kidneys and the intestine we had to place two reverse chimneys which is one of the kind procedures done here successfully so we placed two chimneys into the renal arteries one into the superior mesentric artery and the tube graft in the main aorta this was completely done by endovascular means in our state of the art cath lab and this patient was we didn't need to open the chest or the abdomen she was nursing the ICU just for one day and after two days of procedure she went home walking she was really satisfied because it was a less morbid procedure the results were excellent she is following up with us and she is doing really good thank you so much