Entire rerouting of the supraaortic branches for endovascular stent-graft placement of an aortic arch aneurysm.
Conventional surgical repair of the aortic arch using cardiopulmonary bypass and deep hypothermic circulatory arrest still carries a substantial rate of mortality and morbidity. Endovascular stent-graft placement has developed as a safe and effective treatment modality in various diseases of the aorta. We report on the case of a 64-year-old male presenting with an aortic arch aneurysm involving the origin of the brachiocephalic trunk. A second thoracic aortic aneurysm was detected in the distal third of the descending aorta. The patient was treated by entire prosthetic rerouting of the supraaortic branches. Metachronously, the patient underwent endovascular stent-graft placement from the distal ascending aorta up the thoracoabdominal transition.
Gottardi
Roman
R
Department of Cardiothoracic Surgery, University of Vienna Medical School, Währinger Gürtel 18-20, A-1090 Vienna, Austria.
Lammer
Johannes
J
Grimm
Michael
M
Czerny
Martin
M
D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D017536:Carotid Artery, Common / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents