Endoscopic placement of stents in aneurysms of the descending thoracic aorta.
This is a case of a patient with two saccular aneurysms in the descending aorta. Two self-expanding stents were inserted through an opening in the aortic arch, guided by the use of an Olympus endoscope, under profound hypothermia and total circulatory arrest. The bloodless field made possible the identification of the main thoracic branches, facilitating the positioning and deployment of both stents. Immediate postoperative recovery was excellent.
Division of Cardiovascular Surgery, Escola Paulista de Medicina, São Paulo, SP, Brazil. jhpalma.dcir@epm.br
J H
JH
Palma
A C
AC
Carvalho
E
E
Buffolo
D R
DR
Almeida
W J
WJ
Gomes
L A
LA
Brasil
D000368:Aged; D020677:Angioscopes; D017546:Angioscopy; D001013:Aorta, Thoracic / Q000473:pathology; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000628:therapy*; D004867:Equipment Design; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D017538:Mesenteric Artery, Superior / Q000473:pathology; D011093:Polyethylene Terephthalates; D012077:Renal Artery / Q000473:pathology; D013232:Steel; D015607:Stents; D013536:Suture Techniques
D011093:Polyethylene Terephthalates; D013232:Steel