A Case of Antegrade Thoracic Endovascular Aneurysm Repair Accessed from an Ascending Aorto-Bi-Iliac Bypass Graft
- VernacularTitle:上行大動脈-両側外腸骨動脈バイパスグラフトからのアクセスによる順行性胸部ステントグラフト内挿術を施行した1例
- Author:
Kenichi KATO
1
;
Yoshihiko KURIMOTO
1
;
Takahiko MASUDA
1
;
Ryushi MARUYAMA
1
;
Mika YAMAMOTO
1
;
Keita SASAKI
1
;
Naritomo NISHIOKA
1
;
Shuichi NARAOKA
1
Author Information
- Keywords: endovascular treatment access; extra-anatomical bypass graft; thoracic aortic aneurysm; thoracic endovascular aneurysm repair (TEVAR)
- From:Japanese Journal of Cardiovascular Surgery 2025;54(3):130-134
- CountryJapan
- Language:Japanese
- Abstract: In thoracic endovascular aneurysm repair (TEVAR), the common femoral artery is typically used as the standard vascular access. However, in some cases, alternative vascular accesses must be considered, or endovascular treatment may need to be abandoned due to vascular diameter or characteristics. A female in her 70 s presented with saccular aortic aneurysms located at the distal arch and descending aorta, possibly secondary to bacteremia. She had a history of partial arch replacement and ascending aorto-bi-iliac artery bypass for ascending aortic aneurysm, as well as calcified abdominal aortic stenosis, performed five years prior. In this case, we successfully treated the aneurysms with antegrade TEVAR, accessing through the extra-anatomical bypass graft, which was exposed in the epigastric preperitoneal space. This is the first case report of TEVAR using access from an extra-anatomical bypass graft connecting the ascending aorta to the lower extremity.
