title: A hybrid open and endovascular repair for treatment of bovine aortic arch aneurysm accompanied by aneurysm of patent ductus arteriosus with deployment of Amplatzer duct occluder.
abstract: A rare case of bovine aortic arch aneurysm accompanied by patent ductus Botalli aneurysm was treated using an off-pump hybrid procedure including supraaortic debranching combined with aortic stent grafting and oversewing of pulmonary artery end of the aneurysm. Postoperative computed tomography angiography showed persistent perfusion of the ductus Botalli aneurysm from pulmonary artery, which was successfully closed with an Amplatzer duct occluder. Twenty-two months of follow-up showed good general state of the patient's health status. This less invasive procedure is an alternative to aortic replacement under circulatory arrest and may be the only salvage option for patients in poor general condition.
authors: Servicio de Cirugía Vascular, Complejo Hospitalario de Toledo, Hospital Virgen de la Salud, Toledo, Spain.
authors: Jose
authors: J
authors: Gil-Sales
authors: Clinic for Cardiovascular Surgery, Zurich University Hospital, Zurich, Switzerland.
authors: Mario
authors: M
authors: Lachat
authors: Clinic for Cardiovascular Surgery, Zurich University Hospital, Zurich, Switzerland.
authors: Zoran
authors: Z
authors: Rancic
authors: Clinic for Cardiovascular Surgery, Zurich University Hospital, Zurich, Switzerland.
authors: Dieter
authors: D
authors: Mayer
authors: Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.
authors: Thomas
authors: T
authors: Pfammatter
authors: Clinic for Cardiovascular Surgery, Zurich University Hospital, Zurich, Switzerland. Electronic address: lyubov.chaykovska@usz.ch.
authors: Lyubov
authors: L
authors: Chaykovska
mesh_terms: D000015:Abnormalities, Multiple; D000368:Aged; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D006328:Cardiac Catheterization / Q000295:instrumentation*; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D057510:Endovascular Procedures / Q000295:instrumentation; D006322:Heart Aneurysm / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D055989:Septal Occluder Device; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome