title: Endovascular and Operative Treatment of the Aortic Arch in a High-Risk Marfan Patient.
abstract: In this case, we describe a combined endovascular and operative management for aortic arch repair in a 57-year-old Marfan patient with complex aortic arch geometry previously treated with several open surgeries for acute type A dissection. The patient, who was presented to our department with dorsal pain, deemed to be at high operative risk for another open aortic surgery due to massive aortic calcification. It is an unusual method of placing a custom-made stent-graft system in the false aortic lumen with operative and endovascular treatment of the supra-aortic vessels.
authors.affiliation: Department of Cardiac Surgery, University of Bonn, Bonn, Germany.
authors.forename: Marwan
authors.initials: M
authors.lastname: Hamiko
authors.affiliation: Department of Cardiac Surgery, University of Bonn, Bonn, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Endlich
authors.affiliation: Department of Cardiac Surgery, University of Bonn, Bonn, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schiller
authors.affiliation: Department of Cardiac Surgery, University of Bonn, Bonn, Germany.
authors.forename: Armin
authors.initials: A
authors.lastname: Welz
authors.affiliation: Department of Cardiology, University of Bonn, Bonn, Germany.
authors.forename: Georg
authors.initials: G
authors.lastname: Nickenig
authors.affiliation: Department of Cardiac Surgery, University of Bonn, Bonn, Germany.
authors.forename: Chris
authors.initials: C
authors.lastname: Probst
keywords: aneurysm; aorta/aortic; aortic disease; endovascular procedures/stents; stents