Branch graft system with adjustable openings

1. A multi-component endograft, comprising:

a first endograft comprising,

a first tubular main body portion having a first proximal end with a first proximal opening, a first distal end with a first distal opening, and a first lumen extending therebetween along a longitudinal axis,

first and second wall openings through a wall of the first tubular main body portion and having first and second perimeters, respectively, in fluid communication with the first lumen;

a second endograft comprising,

a second tubular main body portion having a second proximal end with a second proximal opening, a second distal end with a second distal opening, and a second lumen extending therebetween,

a third wall opening through a wall of the second tubular main body portion having a third perimeter in fluid communication with the second lumen;

a third endograft comprising,

a third tubular main body portion having a third proximal end with a third proximal opening, a third distal end with a third distal opening, and a third lumen extending therebetween,

a fourth wall opening through a wall of the third tubular main body portion having a fourth perimeter in fluid communication with the third lumen;

wherein the first, second, and third endografts are constructed and dimensioned such that in an adjustment state where the second and third endografts are both within the lumen of the first endograft, the second and third endografts are independently adjustable, both vertically along the longitudinal axis and rotationally relative to the longitudinal axis, while keeping the third perimeter of the third wall opening primarily encompassed by the first perimeter of the first wall opening and while keeping the fourth perimeter of the fourth wall opening primarily encompassed by the second perimeter of the second wall opening, and

wherein the second proximal end of the second tubular main body portion extends proximally past the first wall opening in the first endograft in a deployed state, and the third proximal end of the third tubular main body portion extends proximally past the second wall opening in the first endograft in the deployed state;

a fifth wall opening through the wall of the first tubular main body portion and having a fifth perimeter in fluid communication with the first lumen;

a sixth wall opening through the wall of the second tubular main body portion having a sixth perimeter in fluid communication with the second lumen;

a seventh wall opening through the wall of the third tubular main body portion having a seventh perimeter in fluid communication with the third lumen;

wherein the sixth perimeter at least partially overlaps with the seventh perimeter to form a combined perimeter, and

wherein the first, second, and third endografts are constructed and dimensioned such that in the adjustment state, the second and third endografts are independently adjustable, both vertically along the longitudinal axis and rotationally relative to the longitudinal axis, while keeping the fifth perimeter of the fifth wall opening primarily encompassed by the combined perimeter of the sixth and seventh wall openings.

2. The multi-component endograft of claim 1 , further comprising an eighth wall opening through the wall of the first tubular main body portion and having an eighth perimeter in fluid communication with the first lumen.

3. The multi-component endograft of claim 2 , wherein the eighth wall opening is a scalloped opening.

4. The multi-component endograft of claim 2 , wherein the eighth wall opening is proximal to the fifth wall opening.

5. The multi-component endograft of claim 1 , wherein the third and fourth wall openings are fenestrations.

6. The multi-component endograft of claim 1 , wherein at least one of the third and fourth wall openings is a scalloped opening.

7. The multi-component endograft of claim 1 , wherein the sixth and seventh wall openings are scalloped openings.

8. The multi-component endograft of claim 1 , wherein the third and fourth wall openings face in opposite directions relative to one another.

9. The multi-component endograft of claim 1 , wherein the fifth wall opening is proximal to the third and fourth wall openings.

10. The multi-component endograft of claim 1 , wherein the second proximal end of the second endograft fits together with the third proximal end of the third endograft to form an interference fit with a circular cross-section.

11. The multi-component endograft of claim 1 , wherein the second proximal end of the second endograft and the third proximal end of the third endograft are “D” shaped.

12. The multi-component endograft of claim 1 , wherein the second proximal end of the second endograft and the third proximal end of the third endograft are “yin-yang” shaped.

13. The multi-component endograft of claim 1 , wherein at least one of the second proximal end of the second endograft or the third proximal end of the third endograft further comprises at least one hook.

14. The multi-component endograft of claim 13 , wherein the at least one hook latches to the first endograft.

15. The multi-component endograft of claim 13 , wherein the at least one hook latches to at least one of the second or third endografts.

16. A multi-component endograft, comprising:

a first endograft comprising,

a first tubular main body portion having a first proximal end with a first proximal opening, a first distal end with a first distal opening, and a first lumen extending therebetween along a longitudinal axis,

first and second wall openings through a wall of the first tubular main body portion and having first and second perimeters, respectively, in fluid communication with the first lumen;

a second endograft comprising,

a second tubular main body portion having a second proximal end with a second proximal opening, a second distal end with a second distal opening, and a second lumen extending therebetween,

a third wall opening through a wall of the second tubular main body portion having a third perimeter in fluid communication with the second lumen;

a third endograft comprising,

a third tubular main body portion having a third proximal end with a third proximal opening, a third distal end with a third distal opening, and a third lumen extending therebetween,

a fourth wall opening through a wall of the third tubular main body portion having a fourth perimeter in fluid communication with the third lumen;

wherein the first, second, and third endografts are constructed and dimensioned such that in an adjustment state where the second and third endografts are both within the lumen of the first endograft, the second and third endografts are independently adjustable, both vertically along the longitudinal axis and rotationally relative to the longitudinal axis, while keeping the third perimeter of the third wall opening primarily encompassed by the first perimeter of the first wall opening and while keeping the fourth perimeter of the fourth wall opening primarily encompassed by the second perimeter of the second wall opening, and

wherein the second proximal end of the second tubular main body portion extends proximally past the first wall opening in the first endograft in a deployed state, and the third proximal end of the third tubular main body portion extends proximally past the second wall opening in the first endograft in the deployed state,

wherein at least one of the third and fourth wall openings is a scalloped opening.

17. A multi-component endograft, comprising:

a first endograft comprising,

a first tubular main body portion having a first proximal end with a first proximal opening, a first distal end with a first distal opening, and a first lumen extending therebetween along a longitudinal axis,

first and second wall openings through a wall of the first tubular main body portion and having first and second perimeters, respectively, in fluid communication with the first lumen;

a second endograft comprising,

a second tubular main body portion having a second proximal end with a second proximal opening, a second distal end with a second distal opening, and a second lumen extending therebetween,

a third wall opening through a wall of the second tubular main body portion having a third perimeter in fluid communication with the second lumen;

a third endograft comprising,

a third tubular main body portion having a third proximal end with a third proximal opening, a third distal end with a third distal opening, and a third lumen extending therebetween,

a fourth wall opening through a wall of the third tubular main body portion having a fourth perimeter in fluid communication with the third lumen;

wherein the first, second, and third endografts are constructed and dimensioned such that in an adjustment state where the second and third endografts are both within the lumen of the first endograft, the second and third endografts are independently adjustable, both vertically along the longitudinal axis and rotationally relative to the longitudinal axis, while keeping the third perimeter of the third wall opening primarily encompassed by the first perimeter of the first wall opening and while keeping the fourth perimeter of the fourth wall opening primarily encompassed by the second perimeter of the second wall opening, and

wherein the second proximal end of the second tubular main body portion extends proximally past the first wall opening in the first endograft in a deployed state, and the third proximal end of the third tubular main body portion extends proximally past the second wall opening in the first endograft in the deployed state; and

a fifth wall opening through the wall of the first tubular main body portion and having a fifth perimeter in fluid communication with the first lumen, wherein at least one of the second proximal end of the second tubular main body portion or the third proximal end of the third tubular main body portion extends proximally past the fifth wall opening in the first endograft in the deployed state.