Hybrid arch repair including supra-aortic debranching on the descending aorta

Hideyuki Shimizu; Takashi Hachiya; Kentaro Yamabe; Ryohei Yozu

doi:10.1016/j.athoracsur.2011.05.045

Hybrid arch repair including supra-aortic debranching on the descending aorta

Ann Thorac Surg. 2011 Dec;92(6):2266-8. doi: 10.1016/j.athoracsur.2011.05.045.

Authors

Hideyuki Shimizu¹, Takashi Hachiya, Kentaro Yamabe, Ryohei Yozu

Affiliation

¹ Department of Cardiovascular Surgery, Keio University, Shinjuku-ku, Tokyo, Japan. [email protected]

PMID: 22115246
DOI: 10.1016/j.athoracsur.2011.05.045

Abstract

A 49-year-old patient with an anastomotic pseudoaneurysm in the aortic arch was considered at high risk for conventional surgery through a median sternotomy because he had previously undergone several operations to treat aortic dissection and had a deep sternal infection after one procedure. Therefore, a hybrid repair was performed. Stent grafts were placed bridging two previously implanted aortic prostheses, which were in the ascending aorta and descending aorta, respectively. The supra-arch vessels were perfused by means of an extra-anatomic bypass from the descending aorta. The aneurysm was completely excluded from the blood flow, and the patient had no serious complications.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aneurysm, False / surgery*
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation / methods*
Humans
Male
Middle Aged