title: Hybrid arch debranching and proximal endograft extension to repair a type I endoleak after endovascular thoracic aneurysm repair.
abstract: Endovascular repair of complex aortic disease has emerged over the past decade as an alternative to traditional open repair, especially for patients with significant medical comorbidities and/or anatomic challenges, such as reoperative fields. However, the possibility of graft migration and endoleak mandates long-term follow-up of these grafts. We present a patient who underwent hybrid repair after stent graft migration and proximal type I endoleak after thoracic endovascular aneurysm repair. This approach allowed us to avoid extensive surgery that would also necessitate circulatory arrest.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Albert Einstein College of Medicine, New York, NY.
authors.forename: Evan
authors.initials: E
authors.lastname: Lipsitz
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Albert Einstein College of Medicine, New York, NY.
authors.forename: Robert E
authors.initials: RE
authors.lastname: Michler
authors.affiliation: Staten Island University Hospital, Department of Cardiothoracic Surgery, SUNY Downstate, New York, NY. Electronic address: siyamekneragi@yahoo.com.
authors.forename: Siyamek
authors.initials: S
authors.lastname: Neragi-Miandoab
mesh_terms: D000369:Aged, 80 and over; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D057867:Endoleak / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D012086:Reoperation; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome