Endoluminal repair of a thoracic arch aneurysm using a scallop-edged stent-graft.
OBJECTIVE
To report a new technique of endoluminal thoracic aortic arch aneurysm repair using a scalloped stent-graft.


METHODS
A 79-year-old man presented with a 7.5-cm thoracic aneurysm involving the inner curve of the aortic arch. Endoluminal repair was performed with a scalloped stent-graft that allowed perfusion of the brachiocephalic (innominate) artery. Preliminary extra-anatomical left common carotid and subclavian artery bypass grafting had been performed to allow coverage of the origins of these vessels.


CONCLUSIONS
The use of fenestrated endoluminal grafts in the aortic arch can be achieved safely and may increase the treatment options for the high-risk patient.
Kruger
Allan J
AJ
Department of Vascular Surgery, Auckland Hospital, Auckland, New Zealand. akruger@adhb.govt.nz
Holden
Andrew H
AH
Hill
Andrew A
AA
D000368:Aged; D017130:Angioplasty / Q000295:instrumentation*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents