scholarly journals Bridging thoracic endovascular aneurysm repair for a late rupture following aortic coarctation angioplasty

2015 ◽  
Vol 26 (5) ◽  
pp. 957-960
Author(s):  
Nelson F. G. Oliveira ◽  
João A. Castro ◽  
José D. Martins ◽  
Anita Quintas ◽  
Sérgio Laranjo ◽  
...  

AbstractIntroductionThoracic endovascular aneurysm repair has been employed to treat late complications after aortic coarctation correction. However, its use in children has seldomly been reported.Case reportWe present the case of a 15-year-old child who presented with a ruptured aneurysm of the descending aorta complicated later by an aortic-oesophageal fistula following aortic coarctation stenting that was managed with multiple bridging endovascular interventions until a definitive repair was performed.ConclusionThoracic endovascular aneurysm repair may be used successfully as a bridging intervention to a definitive repair in children with life-threatening aortic complications following aortic coarctation repair.

Vascular ◽  
2021 ◽  
pp. 170853812110244
Author(s):  
Sencer Çamci ◽  
Selma Ari ◽  
Hasan Ari ◽  
Mehmet T Göncü

Objective In complex anatomical challenges, endovascular endograft implantation to the thoracic aorta may not be performed. Various techniques have been put forward for endograft therapy. In this report, we present the effect of femoral snare support for a patient with an aortic arch angle. Method Thoracic endovascular aneurysm repair (TEVAR) was used for treating a 60-year-old male patient who suffered from severe angulation in the arcus aorta and aneurysmal enlargement of the left subclavian artery and descending aorta. The endovascular graft could not be advanced into the aortic arch with the guidewire because of the aortic arch angle. Therefore, the TEVAR graft distal end was caught with the snare advanced from the femoral artery, and the TEVAR graft was advanced into the aortic arch. Conclusion and result The femoral snare technique is a simple and successful method for endograft implantation of the aortic arch disease without the risk of heart trauma, especially in cases with aortic arch tortuosity.


2011 ◽  
Vol 65 (2) ◽  
pp. 127 ◽  
Author(s):  
Hee Young Lee ◽  
Young Soo Do ◽  
Young Wook Kim ◽  
Hong Suk Park ◽  
Kwang Bo Park ◽  
...  

2019 ◽  
Vol 2019 (11) ◽  
Author(s):  
Takahiro Tokuda ◽  
Mototsugu Tamaki ◽  
Hideki Kitamura ◽  
Yutaka Koyama ◽  
Koshi Sawada ◽  
...  

Abstract An 88-year-old man was admitted with general fatigue. Computed tomography (CT) showed a descending aortic aneurysm. The laboratory data indicated severe infection. Despite negative blood cultures, broad-spectrum intravenous antibiotic therapy was started. Though antibiotic therapy was continued for about 2 weeks, the aneurysm extended 20 mm. Thoracic endovascular aortic repair was performed, and antibiotic therapy was continued for 4 weeks after the procedure, followed by oral antibiotics for 1 year. CT showed regression of the aneurysm 15 months after reconstruction. Antibiotic therapy, preoperatively and postoperatively, is important for a mycotic aortic aneurysm.


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