Aortic Arch Debranching and Antegrade Stent Graft Placement in an Expanding Distal Dissecting Aneurysm after Repair of an Acute Type I Aortic Dissection.
- Author:
Wan Ki BAEK
1
;
Young Sam KIM
;
Hyun Kyoung LIM
;
Yong Han YOON
;
Joung Taek KIM
;
Kwang Ho KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Inha University Hospital, Korea. wkbaek@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic dissection;
Endovascular stent;
Aneurysms, aortic;
Aorta, arch;
Hybrid
- MeSH:
Aneurysm;
Aneurysm, Dissecting;
Aorta;
Aorta, Thoracic;
Aortic Aneurysm;
Brachiocephalic Trunk;
Carotid Arteries;
Chimera;
Humans;
Stents;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(6):729-733
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endovascular treatment of the aortic aneurysm with a stent graft is rapidly evolving. We describe here a case of hybrid TEVAR (thoracic endovascular aortic repair) in which the stent grafts were placed in the aortic arch after debranching of the arch vessels. The patient had undergone ascending aorta replacement for acute type I aortic dissection 2.5 years earlier. The aneurysmal change of the distal dissection progressed with time. A provisional bypass surgery from the ascending aorta to the innominate artery and left carotid artery was performed and then stent grafts were inserted via an antegrade route that covered the whole aortic arch and proximal descending thoracic aorta.
