A staged replacement of the entire aorta from the ascending arch to the hypogastric arteries using a hybrid approach

Journal of Vascular Surgery
Juan Carlos Jimenez, Wesley S Moore

Abstract

Combined open and endovascular hybrid procedures can be used to treat complex aortic pathology. This article reports a five-stage hybrid repair for a complex thoracoabdominal aneurysm with dissection in a 57-year-old man. To our knowledge, this is the first reported case of replacement and exclusion of the entire native human aorta from the root to the iliac bifurcations using a combined open and endovascular approach without neurologic complication. Bilateral hypogastric and femoral circulation was preserved. Aggressive spinal protective measures, including spinal drainage, motor-evoked potentials, and prevention of intraoperative and perioperative hypotension, were used during this staged approach.

References

Sep 8, 1999·Journal of Vascular Surgery·W J Quiñones-BaldrichV S Kashyap
Apr 25, 2006·The Annals of Thoracic Surgery·Scott A LeMaireJoseph S Coselli
Jun 13, 2006·Journal of Vascular Surgery·Stephen Alan BlackMichael P Jenkins
Aug 25, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Timothy A ReschKenneth Ouriel

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Citations

Jan 22, 2013·Journal of Vascular Surgery·Gilles AmrStéphan Haulon
Nov 26, 2009·Annals of Vascular Surgery·Loay S KabbaniRamon Berguer
Aug 17, 2010·Journal of Vascular Surgery·Anton Dias PereraBradley A Wolf
Feb 8, 2011·Journal of Vascular Surgery·Asad A ShahG Chad Hughes
Jul 31, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gabriele PiffarettiChiara Lomazzi

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