title: Long-term durability of aortic arch in situ stent graft fenestration requiring lifelong surveillance.
abstract: We report successful endovascular repair of a 61-year-old man treated for a 7.1-cm excentric aortic arch aneurysm by in situ stent graft fenestration for the brachiocephalic trunk and the left common carotid artery. Cerebral perfusion during the intervention was maintained by pump-driven extracorporal bypass to the right common carotid artery and to the left axillary artery provided with a left carotid-subclavian bypass. After 5 years of follow-up, the aortic arch in situ revascularization is still patent, the aneurysm excluded, and no endoleak detectable, although endovascular reintervention with distal aortic stent graft extension due to dilatation of the descending aorta was required.
authors.affiliation: Department of Vascular Surgery and Endovascular Surgery, University Hospital Regensburg, Regensburg, Germany.
authors.forename: Piotr M
authors.initials: PM
authors.lastname: Kasprzak
authors.affiliation: Department of Cardiac Surgery, University Hospital Regensburg, Regensburg, Germany.
authors.forename: Reinhard
authors.initials: R
authors.lastname: Kobuch
authors.affiliation: Department of Cardiac Surgery, University Hospital Regensburg, Regensburg, Germany.
authors.forename: Christof
authors.initials: C
authors.lastname: Schmid
authors.affiliation: Department of Vascular Surgery and Endovascular Surgery, University Hospital Regensburg, Regensburg, Germany. Electronic address: rk_kopp@web.de.
authors.forename: Reinhard
authors.initials: R
authors.lastname: Kopp
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011474:Prosthesis Design; D012086:Reoperation; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome