Hybrid one-stage repair using a sutureless telescoped stent graft fixation for ruptured multiple thoracic aortic aneurysms.
We report the case of a 58-year-old man who underwent emergency one-stage hybrid repair for multiple thoracic aortic aneurysms involving giant arch and ruptured descending aortic aneurysms. Retrograde thoracic endovascular aortic repair for the ruptured descending aortic aneurysm was first performed to stabilize the hemodynamics. Then, a total arch replacement with an open stent graft, which was inserted into the previous stent graft of the descending aorta in a sutureless telescoped fashion, was performed without any technical problems. This procedure may be one useful therapeutic option for multiple thoracic aortic aneurysms, especially for emergency cases requiring one-stage repair.
Department of Thoracic and Cardiovascular Surgery, Saga Medical School, Saga, Saga, Japan.
Keiji
K
Kamohara
Atsuhisa
A
Tanaka
Manabu
M
Itoh
Hiroyuki
H
Morokuma
Kojiro
K
Furukawa
Shigeki
S
Morita
D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods; D004630:Emergencies; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome