Transposition of arch vessels and endovascular stenting of saccular aneurysm of distal arch--a case report.
Endovascular repair of thoracic aneurysms has emerged as an attractive alternative especially in high-risk patients. However, the aortic curvature and potential coverage of the epiaortic vessels limit the use of stent-grafts in aneurysms located in the aortic arch. We report a case with a saccular aneurysm in the distal arch and proximal descending aorta, where we have transposed the epiaortic vessels to gain a longer proximal neck in the aortic arch to safely deploy an endovascular stent.
Department of Cardiac Surgery, University Hospital Birminingham NHS Trust, Birmingham, UK. kirk-santo@hotmail.com
Kirkpatrick C
KC
Santo
Peter
P
Riley
Peter
P
Guest
Robert S
RS
Bonser
D000368:Aged; D001011:Aorta / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000601:surgery*