Hybrid one-stage repair using a sutureless telescoped stent graft fixation for ruptured multiple thoracic aortic aneurysms.

Abstract

We report the case of a 58-year-old man who underwent emergency one-stage hybrid repair for multiple thoracic aortic aneurysms involving giant arch and ruptured descending aortic aneurysms. Retrograde thoracic endovascular aortic repair for the ruptured descending aortic aneurysm was first performed to stabilize the hemodynamics. Then, a total arch replacement with an open stent graft, which was inserted into the previous stent graft of the descending aorta in a sutureless telescoped fashion, was performed without any technical problems. This procedure may be one useful therapeutic option for multiple thoracic aortic aneurysms, especially for emergency cases requiring one-stage repair.

• Authors: Keiji Kamohara, Atsuhisa Tanaka, Manabu Itoh, Hiroyuki Morokuma, Kojiro Furukawa, Shigeki Morita
• Journal: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia (Ann Thorac Cardiovasc Surg) Vol. 20 Suppl Pg. 918-21 ( 2014) ISSN: 2186-1005 [Electronic] Japan
• PMID: 24492170 (Publication Type: Case Reports, Journal Article)

Topics

• Aortic Aneurysm, Thoracic (diagnosis, physiopathology, surgery)
• Aortic Rupture (diagnosis, physiopathology, surgery)
• Aortography (methods)
• Blood Vessel Prosthesis
• Blood Vessel Prosthesis Implantation (instrumentation, methods)
• Emergencies
• Endovascular Procedures (instrumentation, methods)
• Hemodynamics
• Humans
• Male
• Middle Aged
• Prosthesis Design
• Stents
• Suture Techniques
• Tomography, X-Ray Computed
• Treatment Outcome