Surgical treatment of an aortic arch aneurysm without cardio-pulmonary bypass: endovascular stent-grafting after extra-anatomic bypass of supra-aortic vessels.
A 70-year-old patient presented a large saccular aneurysm involving the whole aortic arch. Because of a past history of left thoracotomy and a high co-morbidity profile, we opted for a combined strategy, consisting of an extra-anatomic bypass of the supra-aortic vessels, followed by the endovascular implantation of a covered thoracic stent-graft. Endovascular stent grafting of aortic arch aneurysm, after extra anatomic bypass of supra-aortic vessels, appears as an attractive alternative strategy for high surgical risk patients.
Dambrin
Camille
C
Department of Cardio-Vascular Surgery, Rangueil University Hospital, 1 avenue Jean-Poulhès, 31059 Toulouse, Cedex, France. cdambrin@hotmail.com
Marcheix
Bertrand
B
Hollington
Lucy
L
Rousseau
Hervé
H
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D015607:Stents; D016896:Treatment Outcome