A Hybrid Approach for Thoracic Aortic Arch Aneurysms in Two Patients at High Operative Risk.
- Author:
Se Won JANG
1
;
Woo Seok KO
;
Min Jeong KIM
;
Jung Cheon CHOI
;
Jin Hee AHN
;
Seung Hwan SONG
;
Han Cheol LEE
Author Information
1. Department of Internal Medicine, Good Samsun Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Aorta;
Aneurysm;
Stent;
Endovascular procedure
- MeSH:
Aneurysm*;
Aorta;
Aorta, Thoracic*;
Aortic Aneurysm;
Arteries;
Endovascular Procedures;
Humans;
Rupture;
Stents;
Subclavian Artery;
Thoracotomy
- From:Korean Journal of Medicine
2014;86(2):218-223
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A large aortic aneurysm invading the aortic arch can be catastrophic if rupture occurs. In the past, the standard treatment was an open thoracotomy followed by total aortic arch replacement. However, open surgery is difficult in patients at high operative risk. Consequently, thoracic endovascular aortic repair (TEVAR) is preferred in high-risk patients. In patients with a short proximal landing whose aortic aneurysm invades the aortic arch, TEVAR is not available because of innominate, left carotid, and left subclavian artery occlusion. We report two cases in which aortic aneurysms invaded the aortic arch, and who were treated with TEVAR after a supra-aortic artery bypass operation.
