title: A novel technique of total debranching TEVAR with inflow from the descending aorta.
abstract: An 82-year-old male with TAA was considered high risk for conventional surgery because of previous CABG. Therefore, a hybrid repair was performed. First, the arch vessels were debranched extra-anatomical bypass. Second, left thoracotomy was performed. The proximal side of a bifurcated graft was anastomosed to the descending aorta. To arch vessels' debranch graft, two bifurcated graft distal limbs were anastomosed with a 10-mm distance. Two stentgrafts were deployed from the ascending to descending aorta. Postoperative CT did not reveal any endoleak, and all debranch grafts were patent.
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan. muneko1209@yahoo.co.jp.
authors.forename: Saiki
authors.identifier: http://orcid.org/0000-0002-6821-3542
authors.initials: S
authors.lastname: Munehiro
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Yunoki
authors.initials: Y
authors.lastname: Keiji
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Sakoda
authors.initials: S
authors.lastname: Naoya
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Hattori
authors.initials: H
authors.lastname: Shigeru
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Uchino
authors.initials: U
authors.lastname: Gaku
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Kawabata
authors.initials: K
authors.lastname: Takuya
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Fujita
authors.initials: F
authors.lastname: Yasufumi
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Hisamochi
authors.initials: H
authors.lastname: Kunikazu
authors.affiliation: Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, 7-33, Motomachi, Naka-ku, Hiroshima, 730-8518, Japan.
authors.forename: Yoshida
authors.initials: Y
authors.lastname: Hideo
mesh_terms: D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057867:Endoleak / Q000601:surgery; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D015607:Stents; D013908:Thoracotomy
keywords: Inflow from the descending aorta; TEVAR; Total debranching