title: Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure.
abstract: Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed.
authors.affiliation: Department of Surgery, Laikon General Hospital , Athens , Greece.
authors.forename: Chris
authors.initials: C
authors.lastname: Bakoyiannis
authors.affiliation: Lerner Research Institute, Cleveland Clinic , Cleveland, OH , USA.
authors.forename: Demetrios
authors.initials: D
authors.lastname: Moris
authors.affiliation: Department of Surgery, Laikon General Hospital , Athens , Greece.
authors.forename: George
authors.initials: G
authors.lastname: Karaolanis
authors.affiliation: Department of Surgery, Laikon General Hospital , Athens , Greece.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Patelis
authors.affiliation: Department of Surgery, Laikon General Hospital , Athens , Greece.
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Schizas
authors.affiliation: Department of Surgery, Laikon General Hospital , Athens , Greece.
authors.forename: Sotirios
authors.initials: S
authors.lastname: Georgopoulos
authors.affiliation: Department of Surgery, Laikon General Hospital , Athens , Greece.
authors.forename: Theodoros
authors.initials: T
authors.lastname: Liakakos
keywords: hybrid surgery; stent-graft; thoracic aorta; thoracic endovascular aneurysm repair; vascular access