Staged hybrid open and endovascular exclusion of a symptomatic thoracoabdominal aortic aneurysm in a high-risk patient.
Thoracoabdominal aortic aneurysms have a higher prevalence in the elderly, who are often poor surgical candidates. These extensive aneurysms may be lethal if left untreated. Conventional open repair has proven to be a major task, involving cardiopulmonary bypass, aortic cross-clamping and expeditious repair of an inaccessible structure involving two body cavities. Endovascular repair has become a viable option to treat isolated descending thoracic aneurysms and infrarenal abdominal aortic aneurysms. However, endovascular techniques alone have been less applicable for treating complex aortic aneurysms, including those involving visceral vessels. Therefore, a hybrid open and endovascular approach with visceral debranching has become an increasingly favorable alternative for patients with these complex conditions. We report a case in which a staged hybrid approach was used for successful exclusion of an extensive thoracoabdominal aortic aneurysm in a symptomatic, high-risk patient who would not have been an appropriate candidate for open surgical repair.
Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY, USA christine.chung@mountsinai.org.
Christine
C
Chung
Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Rajesh
R
Malik
Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Michael
M
Marin
Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Peter
P
Faries
Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY, USA.
Sharif
S
Ellozy
D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Thoracoabdominal aneurysm; complex aneurysm; high risk; hybrid repair