Staged endovascular treatment of aneurysmal progressive development of an intercostal arteries island reimplanted with the loop-graft technique.

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Matteo BossiAndrea Kahlberg

Abstract

A staged endovascular strategy was used to treat the aneurysmal evolution of the aortic island including intercostal arteries reimplanted in a loop-graft, following thoraco-abdominal aortic open repair in a young patient diagnosed with Marfan syndrome. First, selective coil embolization of patent intercostal arteries was performed in 2 separate sessions, to minimize the risk of spinal cord ischaemia. Then, the aneurysm was successfully excluded occluding the loop graft with 2 PTFE-membrane vascular plugs.

References

Feb 6, 2018·The Journal of Thoracic and Cardiovascular Surgery·Rana O AfifiAnthony L Estrera
Aug 14, 2019·The Journal of Thoracic and Cardiovascular Surgery·Markian M BojkoPrashanth Vallabhajosyula

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