Open AccessHybrid completion of aortic repair after type A aortic dissection in a patient with Marfan's syndrome
Author(s) -
Terri-Ann Russell,
James S.M. Yeh,
Antonios Kourliouros,
Christoph Nienaber
Publication year - 2017
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/heartviews.heartviews_62_16
Subject(s) - medicine , surgery , percutaneous , marfan syndrome , aortic dissection , stent , limiting , aortic arch , dissection (medical) , aorta , open surgery , descending aorta , mechanical engineering , engineering
Medicine and engineering are in collaboration to assist in the tackling of daunting surgical techniques which are associated with high rates of morbidity and mortality, in exchange for minimally invasive approaches with lower procedural risk. Endovascular procedures in general have already reduced the risk of surgery by limiting the extent of open surgery and often replacing it with purely percutaneous or hybrid procedures. Here, we describe a patient who had complex staged surgery with open repair of a proximal portion of a type A aortic dissection followed by a staged endovascular reconstruction of the arch and descending aorta by means of a fenestrated stent-graft to secure the left subclavian artery and the posterior cerebral circulation.