1.A Case of Open Surgery for Endoleak after Thoracic Endovascular Aortic Repair of the Aortic Arch
Yuki MOCHIDA ; Junichi SHIMAMURA ; Shigeru SAKURAI ; Kensuke OZAKI ; Susumu OSHIMA ; Takuya FUJIKAWA ; Yuji SEKINE ; Shin YAMAMOTO ; Shirou SASAGURI
Japanese Journal of Cardiovascular Surgery 2018;47(1):26-30
A 72-year-old woman underwent thoracic endovascular aortic repair (TEVAR) for an aortic arch aneurysm at a previous hospital. During follow-up, although the aneurysm was found to have become bigger, no further treatments were given, except for conservative follow-up. The patient sought a second opinion and thus visited our hospital. Enhanced computed tomography (CT) revealed a type I endoleak that required repair. Total arch replacement with removal of the partial stent-graft system was performed under deep hypothermic circulatory arrest. The patient made a steady progress postoperatively and was discharged without any complications. Endovascular repair is minimally invasive and frequently used in various medical facilities but carries a considerably high risk of reintervention. Treatment strategies for aortic aneurysm, including open surgery, should be carefully chosen.
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