Hybrid Aortic Repair for Visceral Aortic Patch Aneurysm after Thoracoabdominal Aortic Aneurysm Repair
- VernacularTitle:胸腹部大動脈置換術後に生じた visceral aortic patch aneurysm に対し2期的に hybrid aortic repair を施行した1例
- Author:
Ryuki YAMADA
1
;
Hideki UEDA
1
;
Hiroki KONO
1
;
Kaoru MATSUURA
1
;
Michiko WATANABE
1
;
Tomohiko INUI
1
;
Yasunori YAKITA
1
;
Yusuke SHIBATA
1
;
Hiroaki YAMAMOTO
1
;
Goro MATSUMIYA
1
Author Information
- Keywords: visceral aortic patch aneurysm; hybrid aortic repair
- From:Japanese Journal of Cardiovascular Surgery 2020;49(6):385-389
- CountryJapan
- Language:Japanese
- Abstract: We report a 48-year-old man who underwent hybrid aortic repair for visceral aortic patch (VAP) aneurysm. He had undergone descending thoracic aortic repair for post-dissection aneurysm at the age of 25, ascending aorta and proximal aortic arch aneurysm repair at the age of 27, and residual thoracoabdominal dissecting aortic aneurysm repair with VAP reconstruction at the age of 28. During 20 years of follow-up, the VAP gradually enlarged and eventually reached 70×61 mm in diameter. Considering a possible severe adhesion after 2 previous left thoracotomies, we planned a 2-staged hybrid aortic repair. First, we performed reno-visceral debranching and as a second stage operation, endovascular aortic repair was performed successfully 39 days after the first-stage operation.
