title: Perfect and least invasive sealing technique on the lesser curvature of the aortic arch: application of a novel stent graft to an aneurysm developing on a postoperative ductus arteriosus.
abstract: A 78-year-old woman who underwent an operation for a patent ductus arteriosus (PDA) about thirty years ago developed an aneurysm on the aortic side of the remnant ductal tissue. To avoid risky, open surgery, we performed endovascular aortic therapy using a novel stent graft (SG), which was pre-curved, fenestrated and custom-made type. This graft was designed to configure to the patient's whole aortic arch anatomy, and was capable of accurately adjusting its fenestrations to the arch branch orifices during the procedure. The operation was successful, and the patient was discharged uneventfully on 16th postoperative day. The advantage of this fenestrated SG is close sealing, especially over the lesser curvature of the arch. This device could be a simple and effective option to deal with an otherwise normal aortic arch with such a ductus-related localized lesion.
authors.affiliation: Department of Cardiovascular Surgery, Matsue Red Cross Hospital, 200 Horomachi, Matsue, Shimane, Japan. soeda_takeshi@matsue.jrc.or.jp
authors.forename: Takeshi
authors.initials: T
authors.lastname: Soeda
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Yokoi
authors.forename: Koichi
authors.initials: K
authors.lastname: Yuri
authors.forename: Yuuhei
authors.initials: Y
authors.lastname: Saito
authors.forename: Shuji
authors.initials: S
authors.lastname: Setozaki
authors.forename: Hisao
authors.initials: H
authors.lastname: Harada
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation*; D005260:Female; D006801:Humans; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome