Endovascular repair of an aortic arch aneurysm using a branched-stent graft.
BACKGROUND
Aortic arch aneurysm repair continues to pose a formidable technical challenge in a patient population with significant co-morbidity.


METHODS
We present a successful endovascular repair of an 8.4 cm aortic arch aneurysm, in a 74 year old man, who's previous median sternotomy showed signs of delayed healing, precluding open repair.


CONCLUSIONS
Applied endovascular techniques obviated the need for aortic clamping, cardiac bypass, or hypothermic circulatory arrest, via an approach that was potentially infected.
Brar
R
R
St George's Vascular Institute, St George's Hospital NHS Trust, Blackshaw Road, London SW17 0QT, UK.
Ali
T
T
Morgan
R
R
Loftus
I
I
Thompson
M
M
D000368:Aged; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015641:Radiography, Interventional; D015607:Stents; D013249:Sternum / Q000601:surgery; D013530:Surgical Wound Infection / Q000150:complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome