title: [Thoracic endovascular aneurysm repair combined with debranching and chimney methods in a high risk patient; report of a case].
abstract: We report a case of a 77-year-old man with a thoracic aortic aneurysm, combined with chronic myelomonocytic leukemia, polymyalgia rheumatica, and atial fibrillation. Open surgery was considered as high risk because he was severely ill. Instead, partial debranching and stent graft( TEVAR) were performed by chimney method. He had no major complication after surgery, and was discharged on foot on the 15th postoperative day. In high risk cases of thoracic aortic aneurysm, TEVAR with debranching and chimney methods is effective.
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hirosima Citizens Hospital, Hiroshima, Japan.
authors.forename: Akito
authors.initials: A
authors.lastname: Imai
authors.forename: Keiji
authors.initials: K
authors.lastname: Yunoki
authors.forename: Tomoya
authors.initials: T
authors.lastname: Inoue
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Suzuki
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Fujita
authors.forename: Kunikazu
authors.initials: K
authors.lastname: Hisamochi
authors.forename: Hideo
authors.initials: H
authors.lastname: Yoshida
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001281:Atrial Fibrillation / Q000150:complications; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D015477:Leukemia, Myelomonocytic, Chronic / Q000150:complications; D008297:Male; D011111:Polymyalgia Rheumatica / Q000150:complications; D012306:Risk; D015607:Stents