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Visceral Debranching Thoracic Endovascular Aneurysm Repair for Chronic Dissecting Thoracoabdominal Aortic Aneurysm

  • Cho, Kwang Jo (Department of Thoracic and Cardiovascular Surgery, Dong-A University College of Medicine) ;
  • Park, Jong Yoon (Department of Thoracic and Cardiovascular Surgery, Dong-A University College of Medicine)
  • Received : 2013.10.07
  • Accepted : 2014.01.03
  • Published : 2014.12.05

Abstract

Type II chronic dissecting thoracoabdominal aortic aneurysms are a surgically challenging disease. The conventional thoracoabdominal aortic aneurysm repair technique using cardiopulmonary bypass is a high-risk procedure. However, a recently developed endovascular technique may be an alternative treatment for the disease, but faces the obstacle of lesional restriction. This new technique uses a hybrid strategy to overcome the limits of endovascular thoracoabdominal aortic aneurysm repair. Herein, we report on a successful outcome after performing the hybrid visceral debranching procedure.

Keywords

References

  1. Rigberg DA, McGory ML, Zingmond DS, et al. Thirty-day mortality statistics underestimate the risk of repair of thoracoabdominal aortic aneurysms: a statewide experience. J Vasc Surg 2006;43:217-22. https://doi.org/10.1016/j.jvs.2005.10.070
  2. Hughes GC, Andersen ND, Hanna JM, McCann RL. Thoracoabdominal aortic aneurysm: hybrid repair outcomes. Ann Cardiothorac Surg 2012;1:311-9.
  3. Oderich GS, Gloviczki P, Farber M, et al. Abdominal debranching with aortic stent grafts for complex aortic aneurysms: preliminary results of the North American Complex Abdominal Aortic Debranching (NACAAD) Registry. Proceedings of the Society for Vascular Surgery meeting; 2011 Jun 15-18; Chicago, USA. Smithtown (NY): International Society for Vascular Surgery; 2011.
  4. Chiesa R, Tshomba Y, Melissano G, et al. Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery. J Vasc Surg 2007;45:1128-35. https://doi.org/10.1016/j.jvs.2006.10.057