title: Hybrid repair of an aortic arch aneurysm with complex anatomy: right aortic arch and anomalous origin of supra-aortic vessels.
abstract: We performed a one-stage hybrid surgical and endovascular procedure to manage a 6.5-cm right aortic arch aneurysm associated with anomalous origin of the supra-aortic vessels in a 70-year-old man. Complete surgical rerouting of the supra-aortic vessels was followed by the endovascular repair of the right aortic arch aneurysm with a Zenith TX2 stent graft (Cook, Bloomington, Ind) and Z-track plus introducer system. The procedure was successfully completed with exclusion of the aortic arch aneurysm, and the patient was discharged on postoperative day 7. Aortic arch aneurysms with complex anatomy may be successfully treated with a less invasive hybrid approach using new generation devices.
authors.affiliation: Department of Vascular Surgery, Vita-Salute University, Scientific Institute H. San Raffaele, Via Olgettina 60, 20132 Milan, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiesa
authors.forename: Germano
authors.initials: G
authors.lastname: Melissano
authors.forename: Luca
authors.initials: L
authors.lastname: Bertoglio
authors.forename: Fabio
authors.initials: F
authors.lastname: Calliari
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D015901:Angiography, Digital Subtraction; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D017536:Carotid Artery, Common / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*