Thoracoabdominal aortic aneurysm open repair with bilateral multiple renal arteries

2020 ◽  
Vol 71 (2) ◽  
pp. 635-636
Author(s):  
Giovanni Tinelli ◽  
Lucia Scurto ◽  
Simona Sica ◽  
Fabrizio Minelli ◽  
Francesca De Nigris ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Open Repair ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Renal Arteries ◽  
Multiple Renal Arteries

Endovascular Repair of a Thoracoabdominal Aortic Aneurysm With a Patient-Specific Fenestrated-Branched Stent-Graft

2017 ◽  
Vol 24 (5) ◽  
pp. 665-669 ◽  
Author(s):  
Bernardo C. Mendes ◽  
Lawrence E. Greiten ◽  
Gustavo S. Oderich
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Stent Graft ◽  
Open Repair ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Renal Arteries ◽  
Mesenteric Arteries ◽  
Patient Specific ◽  
Technical Aspects

Purpose: To describe the technical aspects of a thoracoabdominal aortic aneurysm (TAAA) repair using a patient-specific fenestrated-branched stent-graft. Technique: The technique is demonstrated in a 69-year-old man with a 6.2-cm asymptomatic type III TAAA. A patient-specific fenestrated-branched stent-graft was designed with 2 down-going directional branches for the celiac and superior mesenteric arteries and 2 reinforced fenestrations for the renal arteries. The procedure was performed under general anesthesia and included sequential stenting of the celiac, superior mesenteric, and bilateral renal arteries. The patient was discharged from the hospital on postoperative day 5 with no complications. Follow-up computed tomography angiography demonstrated exclusion of the aneurysm and patent target vessels at 12-month follow-up. Conclusion: This article and illustrated video highlight the steps for procedure planning and implantation of fenestrated and branched endografts. As these techniques continue to evolve, outcomes are expected to be equivalent or improved as compared to those of long-established open repair.

Complex Endovascular Aortic Repair With a Branched Endograft to Revascularize 5 Renovisceral Vessels and an Intercostal Artery in a Marfan Patient

2019 ◽  
Vol 26 (5) ◽  
pp. 736-741 ◽  
Author(s):  
Ahmed S. Eleshra ◽  
Giuseppe Panuccio ◽  
Fiona Rohlffs ◽  
Martin Scheerbaum ◽  
Nikolaos Tsilimparis ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Stent Graft ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Renal Arteries ◽  
Endovascular Aortic Repair ◽  
Intercostal Artery ◽  
Maximum Diameter ◽  
Aortic Repair ◽  
Custom Made ◽  
Marfan Patient

Purpose: To report a case of thoracoabdominal aortic aneurysm (TAAA) repair treated with a multibranched stent-graft including a prophylactic branch for a large intercostal artery in a Marfan patient at risk for spinal cord ischemia (SCI). Case Report: A 43-year-old man with Marfan syndrome presented with a type IV thoracoabdominal aortic aneurysm (TAAA) and history of multiple previous cardiac and aortic operations over the past 28 years. The maximum diameter of the aneurysm was 60 mm. The patient had 2 right renal arteries and 2 reimplanted segmental arteries (1 occluded). With the goal of preserving both right renal arteries and the large intercostal artery, a 6-branch, custom-made stent-graft was planned and manufactured. Bilateral femoral and right brachial artery access was used. The intercostal artery was catheterized and connected to the retrograde branch from a femoral access. Final angiography and predischarge computed tomography angiography (CTA) showed unimpeded flow to all 6 target vessels. The patient was discharged on postoperative day 10 without clinical signs of SCI. Six-month follow-up CTA demonstrated exclusion of the TAAA and patency of all 6 branches. Conclusion: Multibranched endovascular aortic repair with a branch to a large intercostal artery was technically feasible and clinically successful.

scholarly journals FT10. Open Repair of Type IV Thoracoabdominal Aortic Aneurysm: Results of Passive Visceral Shunt and Two-Graft Technique

2018 ◽  
Vol 67 (6) ◽  
pp. e78-e79
Author(s):  
Zakariyae Bouziane ◽  
Nicla Settembre ◽  
Charbel Saba ◽  
Serguei Malikov
Keyword(s):  
Aortic Aneurysm ◽  
Open Repair ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Type Iv

scholarly journals THORACIC SURGERY “Open” repair of ruptured thoracoabdominal aortic aneurysm (experience of 51 cases)

2015 ◽  
Vol 2 ◽  
pp. 119-125 ◽  
Author(s):  
Piero Paolo Zanetti ◽  
Marcin Krasoń ◽  
Ryszard Walas ◽  
Theodor Cebotaru ◽  
Calin Popa ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Thoracic Surgery ◽  
Open Repair ◽  
Thoracoabdominal Aortic Aneurysm

scholarly journals Open Repair of Thoracoabdominal Aortic Aneurysm in a 46-Year-Old Man with Pleural Adhesions and Aberrant Right Subclavian Artery

2018 ◽  
Vol 45 (3) ◽  
pp. 179-181
Author(s):  
Jae Hyun Kim ◽  
Kyung Sub Song ◽  
Jae Bum Kim
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Dissection ◽  
Subclavian Artery ◽  
Open Surgery ◽  
Open Repair ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aortic Aneurysms ◽  
Aberrant Right Subclavian Artery ◽  
Multiple Abnormalities ◽  
Complex Cases

Endovascular aortic treatment is being performed more often and offers some advantages over open surgery. Nevertheless, open repair of thoracoabdominal aortic aneurysms is still relevant in complex cases, including combined chronic aortic dissection, congenital aortic abnormalities such as aberrant right subclavian artery, and dense pleural adhesions after a previous thoracotomy. We describe our successful use of open repair in a 46-year-old man who had these multiple abnormalities.

scholarly journals Open Repair of Thoracoabdominal Aortic Aneurysm: Step-by-Step

2018 ◽  
Vol 23 (1) ◽  
pp. 2-20 ◽  
Author(s):  
Maral Ouzounian ◽  
Scott A. LeMaire ◽  
Scott Weldon ◽  
Joseph S. Coselli
Keyword(s):  
Aortic Aneurysm ◽  
Open Repair ◽  
Thoracoabdominal Aortic Aneurysm

scholarly journals Postural orthostatic tachycardia syndrome following open thoracoabdominal aortic aneurysm repair

2021 ◽  
Vol 2021 (2) ◽  
Author(s):  
Lucy Manuel ◽  
Laura S Fong ◽  
Andrew Mamo ◽  
Ramon Varcoe ◽  
Wilfred Saw ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Open Repair ◽  
Orthostatic Intolerance ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Type B Aortic Dissection ◽  
Thoracoabdominal Aortic Aneurysm Repair ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair ◽  
Stanford Type B

Abstract Postural orthostatic tachycardia syndrome (POTS) is a variant of cardiovascular autonomic disorder characterised by an excessive heart rate on standing and orthostatic intolerance. We present a rare case of a 38-year-old man who underwent open repair of a thoracoabdominal aortic aneurysm for a chronic Stanford type B aortic dissection whose recovery was complicated by POTS. He received blood transfusions and was commenced on metoprolol, fludrocortisone and ivabradine with significant improvement in his symptoms. Correct assessment of postoperative tachycardia including postural telemetry is the key to identifying this condition and its successful management.

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