Endovascular aortic arch reconstruction using in situ stent-graft fenestration in the brachiocephalic artery

Norio Hongo; Shinji Miyamoto; Rieko Shuto; Tomoyuki Wada; Shunro Matsumoto; Hiro Kiyosue; Hiromu Mori

doi:10.1016/j.jvir.2011.04.002

Endovascular aortic arch reconstruction using in situ stent-graft fenestration in the brachiocephalic artery

J Vasc Interv Radiol. 2011 Aug;22(8):1144-8. doi: 10.1016/j.jvir.2011.04.002.

Authors

Norio Hongo¹, Shinji Miyamoto, Rieko Shuto, Tomoyuki Wada, Shunro Matsumoto, Hiro Kiyosue, Hiromu Mori

Affiliation

¹ Department of Radiology, Oita University Faculty of Medicine, Idaigaoka Hasama-machi, Yufu-shi, Oita, Japan. [email protected]

PMID: 21801994
DOI: 10.1016/j.jvir.2011.04.002

Abstract

A patient who had previously undergone retrosternal gastric tube reconstruction for esophageal cancer presented with an aortic arch aneurysm. The patient was treated with endovascular stent-graft placement without median sternotomy, followed by revascularization of the brachiocephalic trunk using percutaneous in situ graft fenestration. A 9-month follow-up examination revealed marked regression of the aneurysm with patency of the stent-graft, without any complications. This in situ fenestration technique may extend the limits of thoracic endovascular therapy for patients who are unsuitable for sternotomy or aortic side-clamping.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation / methods*
Brachiocephalic Trunk / diagnostic imaging
Brachiocephalic Trunk / surgery*
Humans
Imaging, Three-Dimensional
Male
Radiographic Image Interpretation, Computer-Assisted
Stents*
Tomography, X-Ray Computed