title: [Two-staged hybrid surgery for an extended thoracic aortic aneurysm with Komerell's diverticulum].
abstract: We have successfully performed 2 staged hybrid operation for an extended thoracic aortic aneurysm with Komerell diverticulum, which lessened surgical stress of the patient with avoidance of postoperative complications. An 82-year-old man who had been under observation for thoracic aortic aneurysm was admitted to the hospital with continuous chest discomfort. The patient initially underwent graft replacement for an ascending and arch aneurysm by using the elephant trunk technique. Thirty-five days later, he underwent endovascular repair for the residual descending thoracic aneurysm. The postoperative course was uneventful, and postoperative computed tomography (CT) revealed no stent migration and just a little type II endoleak. This 2 staged hybrid approach might be less invasive than the conventional approach, and be a potential therapeutic option for high risk patients with an extended thoracic aortic aneurysm.
authors.affiliation: Department of Cardiovascular Surgery, Shonan Kamakura General Hospital, Kamakura,Japan.
authors.forename: Ryo
authors.initials: R
authors.lastname: Itagaki
authors.forename: Masashi
authors.initials: M
authors.lastname: Tanaka
authors.forename: Hidemitsu
authors.initials: H
authors.lastname: Ogino
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ikegaya
authors.forename: Naohiro
authors.initials: N
authors.lastname: Shimada
authors.forename: Ikuo
authors.initials: I
authors.lastname: Katayama
authors.forename: Satoshi
authors.initials: S
authors.lastname: Itoh
mesh_terms: D000369:Aged, 80 and over; D001013:Aorta, Thoracic / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities*; D014656:Vascular Surgical Procedures / Q000379:methods