Surgical Strategy for Protecting Major Branch Arteries during Thoracic Endovascular Aortic Repair for Shaggy Descending Aortic Aneurysms
- VernacularTitle:Shaggy aortaを呈する胸部下行大動脈瘤に対して，主要分枝血管保護下でTEVARを施行した1例
- Author:
Ryoma UEDA
1
;
Jiro ESAKI
1
;
Masanori HONDA
1
;
Masafumi KUDO
1
;
Takehiko MATSUO
1
;
Hitoshi OKABAYASHI
1
Author Information
- Keywords: thoracic endovascular aortic repair (TEVAR); shaggy aorta; thoracic descending aorta aneurysm
- From:Japanese Journal of Cardiovascular Surgery 2023;52(1):62-66
- CountryJapan
- Language:Japanese
- Abstract: Surgery for a shaggy aortic aneurysm requires a meticulous strategy to prevent embolic complications since the complications are associated with longer length of hospital stay and higher mortality. However, until now, there are no established treatment options to prevent embolic complications. We report a case of a 75-year-old man with a descending aortic aneurysm and a shaggy aorta who underwent thoracic endovascular aortic repair (TEVAR) with major branch artery protection. During the procedure, we placed balloon catheters in the left subclavian and left common iliac arteries, a filter device in the superior mesenteric artery, and a sheath at the ostium of the right common iliac artery. The patient did not develop embolic or other complications and was discharged on the eighth postoperative day. Our strategy of using the balloon occlusion technique and filter placement at the major vessels effectively prevented embolic complications during TEVAR for a shaggy aorta.
