Entire rerouting of the supraaortic branches for endovascular stent-graft placement of an aortic arch aneurysm | Zendy

Roman Gottardi | Zendy; Johannes Lämmer | Zendy; Michael Grimm | Zendy; Martin Czerny | Zendy

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Entire rerouting of the supraaortic branches for endovascular stent-graft placement of an aortic arch aneurysm

Author(s) -

Roman Gottardi,

Johannes Lämmer,

Michael Grimm,

Martin Czerny

Publication year - 2006

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2005.11.025

Subject(s) - elephant trunks , medicine , stent , aortic arch , aneurysm , ascending aorta , descending aorta , surgery , aorta , trunk , aortic aneurysm , thoracic aortic aneurysm , endovascular aneurysm repair , radiology , abdominal aortic aneurysm , ecology , biology

Conventional surgical repair of the aortic arch using cardiopulmonary bypass and deep hypothermic circulatory arrest still carries a substantial rate of mortality and morbidity. Endovascular stent-graft placement has developed as a safe and effective treatment modality in various diseases of the aorta. We report on the case of a 64-year-old male presenting with an aortic arch aneurysm involving the origin of the brachiocephalic trunk. A second thoracic aortic aneurysm was detected in the distal third of the descending aorta. The patient was treated by entire prosthetic rerouting of the supraaortic branches. Metachronously, the patient underwent endovascular stent-graft placement from the distal ascending aorta up the thoracoabdominal transition.

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