title: Hybrid debranching-endovascular repair of visceral patch aneurysm after thoracoabdominal aneurysm repair.
abstract: A visceral patch aneurysm is a significant complication after extensive thoracoabdominal aneurysm repair, and open procedures to correct these lesions are associated with a high perioperative mortality. We report the case of a 6-cm visceral patch aneurysm occurring in a patient with a completely replaced descending and abdominal aorta that was successfully corrected by staged debranching and endovascular repair with a dedicated thoracic endograft. Hybrid procedures are a successful option to treat complex repairs in the reoperative setting. They have the potential to lower perioperative risk and enhance patient care.
authors.affiliation: Department of Surgery, Center for Vascular Disease, University of Rochester, Rochester, New York, USA.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Bakken
authors.forename: Clinton D
authors.initials: CD
authors.lastname: Protack
authors.forename: David L
authors.initials: DL
authors.lastname: Waldman
authors.forename: Mark G
authors.initials: MG
authors.lastname: Davies
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014654:Vascular Patency; D014781:Viscera / Q000098:blood supply