Endovascular thoracic aortic aneurysm repair with concomitant myocardial and carotid revascularization.
A 73-year-old woman presented with a large saccular aneurysm involving the distal aortic arch. Preoperative aortography and cardiac catheterization revealed left main coronary artery and left common carotid artery stenoses. Concomitant coronary artery bypass grafting to the left anterior descending and first diagonal arteries, ascending aorta-to-left common carotid artery bypass grafting, and endovascular thoracic aortic aneurysm repair with antegrade stent-graft deployment and intentional left subclavian artery coverage were performed.
Rajagopal
Keshava
K
Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Lima
Brian
B
Harrison
J Kevin
JK
Swaminathan
Madhav
M
McCann
Richard L
RL
Hughes
G Chad
GC
D000368:Aged; D000714:Anastomosis, Surgical; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D017536:Carotid Artery, Common / Q000601:surgery*; D016893:Carotid Stenosis / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006801:Humans; D015607:Stents