Application of fenestration technique in the treatment of aortic arch disease

Ren Wang; Guoxing Weng; Zhiqun Chen; Qi Xie; Yuanxiang Chen; Zhi Dou; Haiyu Chen; Wenlong Cai

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Application of fenestration technique in the treatment of aortic arch disease

VernacularTitle:开窗技术在主动脉弓部病变治疗中的应用
Author: Ren WANG ¹ ; Guoxing WENG ; Zhiqun CHEN ; Qi XIE ; Yuanxiang CHEN ; Zhi DOU ; Haiyu CHEN ; Wenlong CAI
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1. 福建医科大学省立临床学院福建省立医院心外科
Keywords: Fenestration; Aortic diseases
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2019;35(5):285-289
CountryChina
Language:Chinese
Abstract: Objective Assessment of fenestration in the aortic arch disease .Methods 13 patients with aortic arch dis-ease underwent fenestration operation to reconstruct affiliated vessels , aortic arch aneurysm in 5 patients, aortic anch ulcer in 4, Ⅲ type aortic dissection in 3 and Ⅰ type leakage after aortic stent graft in 1 patient.All patieuts were divided into 2 groups.8 patients in pre-fenestration group, 5 patients in in-situ fenestration group.Only left subclavian artery was rebuilded in 9 patients, both left carotid common artery and left subclavian artery were rebuilded in 3 patients, all three affiliated vessels of arch were rebuilded in 1 patient.Results Branch vessels of aortic arch were successfully rebuilded in all 13 patients.There were no endoleak, stenosis of branch vessels, graft diaplacement or deaths peri-operative period.During follow-up, no postop-erative complications occurred and all target vessels remained patent .No fenestration related endoleaks were observed.Conclu-sion Fenestration may be a viable alternative for patients with aortic arch disease .