Thoracoabdominal aortic aneurysm hybrid repair

Magyar sebészet
Csaba DzsinichMáté Dzsinich

Abstract

Introduction of endografting has significantly changed the treatment options of aortic aneurysms; they can be successfully applied for aortic arch or thoracoabdominal aorta aneurysm repairs, as well. In order to create safe landing zones for the endografts on these segments, a modification of the original anatomy is needed using transpositions and/or bypasses, which is called "debranching". These hybrid procedures that combine traditional and endovascular techniques may reduce surgical trauma and offer solution for patients being unfit for major surgery. We carried out a hybrid intervention in a lady who had a 60 mm Crawford Type IV aortic aneurysm including the orifice of the celiac trunk. First, an aorto-splenic artery PTFE bypass was performed and the celiac trunk was oversewn proximally to its trifurcation. The spleen remained viable through the gastroepiploic artery. Four days thereafter we covered the aneurysm using a 34 mm Thoracic Excluder. The patient tolerated both procedures well, and was discharged in stable condition. One year after this intervention, a follow-up CT scan confirmed the good position of the endograft, no endoleak and involution of the aneurysm was detected. Good patency of the aorto-splenic artery by...Continue Reading

References

Nov 1, 1991·Annals of Vascular Surgery·J C ParodiH D Barone
Sep 8, 1999·Journal of Vascular Surgery·W J Quiñones-BaldrichV S Kashyap
Oct 14, 2000·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·J A MacierewiczB R Hopkinson
Feb 24, 2001·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·M Lawrence-BrownJ B Semmens
Aug 9, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Michael Khoury
Aug 10, 2002·Journal of Vascular Surgery·Jeffrey L BallardTheodore H Teruya
Nov 19, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S SaccaniT Gherli
Apr 17, 2003·The Journal of Thoracic and Cardiovascular Surgery·Yoshifumi IguroRyuzo Sakata
Nov 7, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J Rimmer, J H N Wolfe
Jun 4, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Roberto ChiesaAngelo Anzuini
Jun 13, 2006·Journal of Vascular Surgery·Stephen Alan BlackMichael P Jenkins
Oct 24, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M GawendaJ Brunkwall
Aug 9, 2007·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K P DonasJ Nanobachvili
Aug 21, 2007·Perspectives in Vascular Surgery and Endovascular Therapy·Jacques Kpodonu, Edward B Diethrich

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.