Endovascular Stent-Grafting in a Patient with Concomitant Descending Thoracic Aortic Aneurysm and Cancer of the Right Lung.
10.4326/jjcvs.30.210
- VernacularTitle:右肺癌合併胸部下行大動脈りゅうに対するステントグラフト内挿術の経験
- Author:
Tsutomu Sugimoto
;
Toshiki Takahashi
;
Takashi Minowa
;
Satoshi Shiono
;
Hiroyuki Oizumi
;
Takao Watanabe
;
Yasuhisa Shimazaki
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2001;30(4):210-212
- CountryJapan
- Language:Japanese
-
Abstract:
A 75-year-old woman underwent endovascular stent-grafting for a descending thoracic aortic aneurysm, followed by video-assisted thoracoscopic right upper lobectomy for concomitant lung cancer in a later procedure. Two custom-made endovascular spiral Z stents covered with woven Dacron (DuPont Co., Wilmington, DE, USA) were delivered via the femoral artery under local anesthesia using pull-through technique. Intraoperative angiograms showed successful exclusion of the aneurysm without any endoleakage. Conventional surgical treatments for both diseases in this patient would have required bilateral thoracotomy either in a simultaneous or staged fashion and entail risks of postoperative pulmonary dysfunction and progression of the cancer. Endovascular stent-grafting offered potential superior operative results and quality of postoperative life in this patient with concomitant descending thoracic aortic aneurysm and cancer of the right lung.
