title: Complete Endovascular Treatment of Saccular Aneurysm of the Aortic Arch by Coiling and ch-EVAR.
abstract: Saccular aneurysm of the aortic arch is a condition with a high associated mortality. Open surgery is often complicated with poor outcome and high postoperative morbidity and mortality. In this case report, we describe an alternative stepwise endovascular repair: coiling of the aneurysm followed by covering of the ostium of the saccular aneurysm by chimney endovascular aortic repair. In our opinion, this technique could be an alternative for a fully customized branched or fenestrated endoprosthesis to treat these kind of aneurysms.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, OLV Clinic Aalst, Aalst, Belgium. Electronic address: sebastiaan.martens@olvz-aalst.be.
authors.forename: Sebastiaan
authors.initials: S
authors.lastname: Martens
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, OLV Clinic Aalst, Aalst, Belgium.
authors.forename: Lieven
authors.initials: L
authors.lastname: Maene
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, OLV Clinic Aalst, Aalst, Belgium.
authors.forename: Roel
authors.initials: R
authors.lastname: Beelen
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome