title: Aortic aneurysmal repair with surtureless visceral revascularization using novel hybrid vascular graft and a gradual funneling technique.
abstract: This article details a novel technique in the treatment of a symptomatic thoracoabdominal aneurysm (TAA) involving the visceral segment and an infrarenal abdominal aortic aneurysm. The patient was treated in a 2-staged hybrid approach combining an endovascular repair of the infrarenal segment, followed by open TAA repair. The large visceral arteries were revascularized using expanded polytetrafluoroethylene GORE Hybrid Vascular Graft (GHVG) and a Gradual Funneling Technique with Dacron graft. This method assured a complete hemostatic seal and minimized visceral ischemic time. To our knowledge, this is the first case of sutureless visceral artery revascularization using GHVG reported in the literature.
authors.affiliation: Vascular & Endovascular Surgery, University of Miami, Miller School of Medicine, Miami, FL 33136 , USA. abornak@med.miami.edu
authors.forename: Arash
authors.initials: A
authors.lastname: Bornak
authors.forename: Lee Joshua
authors.initials: LJ
authors.lastname: Goldstein
authors.forename: Jorge
authors.initials: J
authors.lastname: Rey
authors.forename: Andres
authors.initials: A
authors.lastname: Medina
authors.forename: Jane Kim
authors.initials: JK
authors.lastname: Yang
authors.forename: Omaida Caridad
authors.initials: OC
authors.lastname: Velazquez
authors.forename: Jagajan
authors.initials: J
authors.lastname: Karmacharya
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene; D011474:Prosthesis Design; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates; D011138:Polytetrafluoroethylene