Hybrid Repair of an Innominate Artery Mycotic Aneurysm with an “On-The-Table” Customized Endograft

2019 ◽  
Vol 59 ◽  
pp. 311.e5-311.e9
Author(s):  
Carlota Fernandez Prendes ◽  
Jose Antonio Del Castro Madrazo ◽  
Carol Elisabeth Padron Encalada ◽  
Margarita Rivas Dominguez ◽  
Lino Antonio Camblor Santervas ◽  
...  
2020 ◽  
Vol 23 (5) ◽  
pp. E699-E702
Author(s):  
Sheena Chen ◽  
Kyongjune Benjamin Lee ◽  
Bao-Ngoc Nguyen ◽  
Robyn Macsata ◽  
Shawn Sarin ◽  
...  

Purpose: The management of patients with chronic Stanford type B aortic dissection who develop complications requires intervention without clear guidelines. Chronic aortic dissection is difficult to treat and often leads to significant morbidity and mortality. We report a complex case of chronic Stanford type B aortic dissection (TBAD) with an expanding false lumen aneurysm and distal fenestrations that required a multi-stage hybrid repair. Technique: The patient first underwent a median sternotomy for the ascending aorta to the innominate artery and innominate artery to the left carotid artery bypass, followed by a left carotid to left axillary artery bypass. Due to continued aneurysmal growth, the patient ultimately underwent total cervical and abdominal aortic debranching as well as thoracic and abdominal endovascular grafting with iliac excluders. The patient recovered well after the surgery and had no further expansion of the aneurysm at 12-month follow up. Conclusion: Endovascular repairs have been the mainstay of chronic TBAD repair, but hybrid approaches may be necessary for difficult repairs. A multi-stage hybrid repair approach has been successful in a patient who had a chronic type B aortic dissection with aneurysmal degeneration that failed medical management.


2002 ◽  
Vol 74 (6) ◽  
pp. 2184-2186 ◽  
Author(s):  
Ruth L Bush ◽  
Julian E Hurt ◽  
Charles C Bianco

2016 ◽  
Vol 35 ◽  
pp. 205.e9-205.e11
Author(s):  
Quentin Pellenc ◽  
Alla Avramenko ◽  
Pierre Mordant ◽  
Yves Castier

Author(s):  
Peter-Jan Vancoillie ◽  
Karen Peeters ◽  
Sigi Nauwelaers ◽  
Luc Stockx ◽  
Geert Lauwers

2003 ◽  
Vol 18 (4) ◽  
pp. 589 ◽  
Author(s):  
Sungjin Oh ◽  
Young Won Yoon ◽  
Gil Jin Jang ◽  
Jung Bae Ahn ◽  
Gee pyo Hong ◽  
...  

2015 ◽  
Vol 30 (11) ◽  
pp. 836-838 ◽  
Author(s):  
Chung Won Lee ◽  
Seunghwan Song ◽  
Seon Uoo Choi ◽  
Seon Hee Kim ◽  
Han Cheol Lee

VASA ◽  
2009 ◽  
Vol 38 (3) ◽  
pp. 263-266 ◽  
Author(s):  
Yuan ◽  
Tager

Penetrating atherosclerotic ulcer of the aorta is uncommon, and usually develops in the descending thoracic aorta. Rarely this condition involves the branch vessels of the aorta. We report a case of ruptured aneurysm of the innominate artery resulting from penetrating atherosclerotic ulcer. Open surgery was the treatment of choice for the ruptured aneurysm, while conservative treatment was recommended for the associated penetrating atherosclerotic ulcers of the descending aorta.


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