Multiple aneurysm repair: hybrid approach to chronic dissection around visceral branches
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Nobuhiro Handa, MD · Takeshi Nishina, MD Masaaki Kato, MD · Itsuki Nishio, MD Masahiro Asano, MD · Kazuhiro Noda, MD Takahiro Suzuki, MD · Yoichiro
- چاپ و سال / کشور: 2011
Description
The present case report details our experience with the hybrid approach for multiple aneurysms in the aortic arch, thoracoabdominal aorta, and around the aortic bifurcation. Total arch replacement for the arch aneurysm under hypothermic cardiopulmonary bypass with antegrade cerebral perfusion was the fi rst stage of aneurysm repair. Five months later, bifurcated graft replacement with debranching of four abdominal branches was undertaken as the second stage of treatment. Finally, stent-graft repair for chronic dissection of the thoracoabdominal aorta was performed utilizing a Gore-Tex Tag endovascular prosthesis. Over 7 months of treatment, all aneurysms were excluded from the aortic blood fl ow and pressure without abdominal organ dysfunction except a transiently elevated total bilirubin level. Although the patient had an episode of minor gastrointestinal bleeding after discharge, he is currently leading a normal life without limitations at home 5 months after the stent-graft repair.
Gen Thorac Cardiovasc Surg (2011) 59:288–292 DOI 10.1007/s11748-010-0681-0 Received: 7 May 2010 / Accepted: 13 July 2010
