Single-stage hybrid repair of aortic arch and decending thoracic aneurysm: a case report

2013 ◽  
Vol 21 (4) ◽  
pp. 1105-1109
Author(s):  
Tünay Kurtoğlu
2021 ◽  
Author(s):  
Rohit Mody

Out of many strategies that are used to treat aortic arch disease, including open surgery, branched techniques, and hybrid repair with Thoracic Endovascular Aortic Aneurysmal Repair (TEVAR) and supra-aortic branch reconstruction and fenestration, Thoracic Endovascular Aortic Aneurysmal Repair (TEVAR) incorporating chimney is frequently used in unstable and morbid patients not suitable for other procedures. We describe here a case of contained rupture of a thoracic aortic aneurysm, which was treated with TEVAR incorporating a double chimney to the left common carotid and left subclavian arteries. There was an uncomplicated course of the procedure with complete coverage of aneurysm with stent-graft and open aortic arch vessels when followed up to 6 months. There were no complications noted as well. In this case we took the precaution to upsize the stent-graft by 20% to 30% also for adequate coverage of aneurysm we had to adopt to the chimney technique. To prevent complications like gutter and endoleaks, the kissing technique was used during deployment. In addition, there was adequate coverage of chimney-grafts with adequate proximal projection.


2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Ioan Tilea ◽  
Laszlo Hadadi ◽  
Razvan C Serban ◽  
Brindusa Tilea

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Mixia Li ◽  
Hulin Piao ◽  
Yong Wang ◽  
Kexiang Liu

Abstract Background The treatment for extensive aortic arch aneurysms involving the aortic arch and descending aorta is challenging for most cardiovascular surgeons. The surgical treatment is associated with a very high mortality rate. The optimal treatment has not been defined. Case presentation A 49-year-old male was hospitalized due to chest and upper back pain. Computed tomography angiography (CTA) demonstrated there was an extensive aortic arch aneurysm extending to the left common carotid artery and descending aorta. A novel single- stage hybrid surgery was performed on the patient through two steps: treatment of the aortic arch through median sternotomy and thoracic endovascular artery repair. The patient recovered uneventfully. Conclusions Our single-stage hybrid repair approach is safe, simple and effective. It provides an alternative treatment for extensive aortic arch aneurysms.


2020 ◽  
Vol 11 (3) ◽  
pp. 361-363
Author(s):  
Agastya Patel ◽  
Smruti Ranjan Mohanty ◽  
Simran Kundan ◽  
Snehal Kulkarni ◽  
Suresh G. Rao

An aortopulmonary window is known to be associated in 5% of interrupted aortic arch cases. The combination of these lesions with a bovine-type aortic arch is much more uncommon. We report its embryological explanation and successful single-stage surgical repair in a three-month-old infant.


2014 ◽  
Vol 7 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Rihito Higashi ◽  
Yu Matsumura ◽  
Fumitaka Yamaki

Aorta ◽  
2020 ◽  
Vol 08 (05) ◽  
pp. 144-147
Author(s):  
Davide Margonato ◽  
Valerio Stefano Tolva ◽  
Giuseppe Vaccari ◽  
Paolo Bianchi ◽  
Renato Casana ◽  
...  

AbstractCoexistence of obstructive hypertrophic cardiomyopathy and severe aortic pathology is extremely rare; nonetheless, the association between these two diseases is fascinating. Here we present a unique case report of a patient with obstructive hypertrophic cardiomyopathy and aortic arch aneurysm treated by a single surgical procedure.


2017 ◽  
Vol 103 (4) ◽  
pp. e381-e384 ◽  
Author(s):  
Cristian Rosu ◽  
Jean-François Dorval ◽  
Cherrie Zack Abraham ◽  
Raymond Cartier ◽  
Philippe Demers

Aorta ◽  
2021 ◽  
Vol 09 (05) ◽  
pp. 186-189
Author(s):  
Metesh Acharya ◽  
Aamer Ahmed ◽  
Aparna Deshpande ◽  
Tryfon Vainas ◽  
Leonidas Hadjinikolaou ◽  
...  

AbstractWe report the successful single-stage hybrid management of Kommerell's diverticulum associated with a right-sided aortic arch in a 63-year-old woman. She underwent total aortic arch debranching utilizing a surgeon-customized vascular prosthesis, without cardiopulmonary bypass or deep hypothermic circulatory arrest, and concomitant zone-0 endovascular stent–graft deployment.


2021 ◽  
pp. 153857442110483
Author(s):  
Salomon Cohen-Mussali ◽  
Monica Leon ◽  
Claudio Ramírez-Cerda ◽  
Ernesto Cobos-Gonzalez ◽  
Jaime Valdes-Flores

Background: Coarctation of the aorta (CoA) can either present alone as an isolated condition or in association with other aortic arch or cardiac anomalies. One percent of patients with CoA have concomitant an aberrant right subclavian artery (ARSA). Purpose: We report the case of a 35-year-old woman with uncontrolled hypertension who was found to have CoA and ARSA. Results: The patient was treated successfully using a hybrid procedure comprising ARSA ligation and subclavian to carotid transposition, followed by thoracic endovascular aortic repair. Conclusions: Patients with CoA should be carefully studied, considering the possible coexistence of other congenital aortic arch defects, such as ARSA. Hybrid repair is a safe and effective approach for this condition.


Sign in / Sign up

Export Citation Format

Share Document