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Extra‐anatomical splanchnic revascularization for hybrid treatment of thoracoabdominal aortic aneurysms
Author(s) -
Vendramin Igor,
Frigatti Paolo,
Lechiancole Andrea,
Sponza Massimo,
Bortolotti Uberto,
Livi Ugolino
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14152
Subject(s) - medicine , revascularization , laparotomy , splanchnic , endovascular treatment , radiology , surgery , ascending aorta , aorta , aneurysm , cardiology , blood flow , myocardial infarction
Treatment of thoracoabdominal aortic aneurysms with endovascular or conventional surgical techniques is burdened by high risk in older patients. Furthermore, the standard hybrid approach might be not feasible in case of severe atherosclerotic disease of the peripheral vessels. This report describes an alternative hybrid procedure which consists of an innovative mini‐invasive thoracic approach combined with laparotomy to perform antegrade revascularization of the visceral arteries from the ascending aorta, followed by endovascular treatment.