title: Combined open and endovascular treatment of complex aortic disease.
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.
authors.affiliation: Department of Surgery, St. Olav's Hospital, University Hospital of Trondheim, Trondheim, Norway.
authors.forename: Jan
authors.initials: J
authors.lastname: Lundbom
authors.forename: Staal
authors.initials: S
authors.lastname: Hatlinghus
authors.forename: Asbjørn
authors.initials: A
authors.lastname: Odegård
authors.forename: Trine Olberg
authors.initials: TO
authors.lastname: Eide
authors.forename: Conrad
authors.initials: C
authors.lastname: Lange
authors.forename: Jenny
authors.initials: J
authors.lastname: Aasland
authors.forename: Petter
authors.initials: P
authors.lastname: Aadahl
authors.forename: Hans O
authors.initials: HO
authors.lastname: Myhre
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents; D014057:Tomography, X-Ray Computed