title: Total endovascular treatment of an aortic arch aneurysm in a patient with a mechanical aortic valve.
abstract: BACKGROUND
  Endovascular repair of aortic arch aneurysms using an inner-branched device is a new treatment option for patients unfit for open surgery. There are many anatomical restrictions, such as the presence of a mechanical aortic valve that can contraindicate this complete endovascular approach.
  
  
  METHODS
  A new delivery system to overcome this issue has been developed. This new system was used to treat an aortic arch aneurysm 77 mm in diameter in a 37-year-old patient with Marfan's syndrome. The patient was considered to be at major risk for open surgery because of severe respiratory insufficiency following a second sternotomy.
  
  
  CONCLUSIONS
  Total endovascular arch aneurysm repair is no longer contraindicated in patients with a mechanical aortic valve.
authors.affiliation: Aortic Centre, CHRU de Lille, INSERM U1008, Université Lille Nord de France, 59037 Lille Cedex, France.
authors.forename: R
authors.initials: R
authors.lastname: Spear
authors.affiliation: Aortic Centre, CHRU de Lille, INSERM U1008, Université Lille Nord de France, 59037 Lille Cedex, France.
authors.forename: R
authors.initials: R
authors.lastname: Azzaoui
authors.affiliation: Aortic Centre, CHRU de Lille, INSERM U1008, Université Lille Nord de France, 59037 Lille Cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Maurel
authors.affiliation: Aortic Centre, CHRU de Lille, INSERM U1008, Université Lille Nord de France, 59037 Lille Cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Sobocinski
authors.affiliation: Cook Medical, Bloomington, IN, USA.
authors.forename: B
authors.initials: B
authors.lastname: Roeder
authors.affiliation: Aortic Centre, CHRU de Lille, INSERM U1008, Université Lille Nord de France, 59037 Lille Cedex, France. Electronic address: stephan.haulon@chru-lille.fr.
authors.forename: S
authors.initials: S
authors.lastname: Haulon
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D057510:Endovascular Procedures / Q000009:adverse effects; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications*; D018579:Patient Selection; D012307:Risk Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aneurysm; Aortic valve; Arch; Endograft