title: A novel hybrid approach using antegrade visceral debranching from both axillary arteries for thoracoabdominal aneurysm repair.
abstract: Hybrid aortic surgery combining visceral debranching and stent grafting is an alternative to conventional open surgery and branched stent grafting for thoracoabdominal aneurysm repair. Visceral aortic branch bypasses are usually performed from the iliac arteries or the infrarenal or ascending aorta. Herein, we describe a new debranching technique to treat a painful Crawford type III thoracoabdominal aneurysm in a high-risk patient who was deemed unsuitable for open, endovascular, or traditional hybrid repair. The superior mesenteric artery and the right renal arteries were exposed via a right retroperitoneal approach and revascularized from the right axillary artery. Splenic and left renal arteries were exposed via a left retroperitoneal approach and revascularized from the left axillary artery.
authors.affiliation: Department of Vascular and Endovascular Surgery, Henri Mondor Hospital, Créteil, France. Electronic address: cochennecf@gmail.com.
authors.forename: Frédéric
authors.initials: F
authors.lastname: Cochennec
authors.affiliation: Department of Vascular and Endovascular Surgery, Henri Mondor Hospital, Créteil, France.
authors.forename: Celia
authors.initials: C
authors.lastname: Boulitrop
authors.affiliation: Department of Vascular and Endovascular Surgery, Ambroise Paré Hospital, Boulogne-Billancourt, France.
authors.forename: Marc
authors.initials: M
authors.lastname: Coggia
authors.affiliation: Department of Surgery, University of Colorado, Aurora, CO.
authors.forename: Max
authors.initials: M
authors.lastname: Wohlauer
authors.affiliation: Department of Vascular and Endovascular Surgery, Henri Mondor Hospital, Créteil, France.
authors.forename: Marek
authors.initials: M
authors.lastname: Majewski
authors.affiliation: Department of Vascular and Endovascular Surgery, Henri Mondor Hospital, Créteil, France.
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Becquemin
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001366:Axillary Artery / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000601:surgery; D008875:Middle Aged; D011474:Prosthesis Design; D012077:Renal Artery / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome