PMID: 15248638Jul 14, 2004Paper

Combined open and endovascular treatment of complex aortic disease

Vascular
Jan LundbomH O Myhre

Abstract

The purpose of this article is to report whether combined open and endovascular treatment could be applied in patients with complex aortic disease. A retrospective study including four patients with complex aortic disease was undertaken. In all patients, extra-anatomic bypass to the visceral arteries was made through a laparotomy while the aortic lesion was repaired by stent grafting. One patient died on the first postoperative day and another died 3 months after treatment from a myocardial infarction. The other two patients were alive 13 and 34 months after treatment, respectively. However, a patient treated for a ruptured thoracoabdominal type 2 aneurysm on the basis of a dissection suffers from postoperative paraplegia. The combination of open surgery with extra-anatomic bypass to visceral arteries and stent grafting could be an option for the treatment of patients with complex aortic disease, especially in high-risk cases in which more extensive open surgery is contraindicated.

Citations

Aug 26, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Chris BakoyiannisEfstathios Papalambros

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