title: Hybrid Three-Stage Repair for Extended Thoracoabdominal Aortic Aneurysm: Report of A Case.
abstract: A 67-year-old man complicated with back pain. The computed tomography (CT) scan showed an extended thoracoabdominal aneurysm. We successfully performed a three-stage hybrid repair using the visceral-renal debranching technique. For the first stage operation we performed Y-grafting with the debranching technique to create a distal landing zone. Then, for the second stage operation, we performed the hybrid procedure including total arch replacement (TAR) and antegrade stent graft deployment to create a proximal landing zone. Finally, additional thoracic endovascular aortic repair (TEVAR) between the distal and proximal landing zones was successfully accomplished as the third stage operation.
authors.affiliation: Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kihara
authors.affiliation: Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tamura
authors.affiliation: Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
authors.forename: Genta
authors.initials: G
authors.lastname: Chikazawa
authors.affiliation: Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
authors.forename: Taichi
authors.initials: T
authors.lastname: Sakaguchi
authors.affiliation: Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
authors.forename: Toshinori
authors.initials: T
authors.lastname: Totsugawa
authors.affiliation: Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Yoshitaka
keywords: aneurysm; endovascular surgery; overative procedures