Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure

Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessfu...

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Bibliographic Details
Published in:Frontiers in surgery 2016-11, Vol.3, p.62
Main Authors: Bakoyiannis, Chris, Moris, Demetrios, Karaolanis, George, Patelis, Nikolaos, Schizas, Dimitrios, Georgopoulos, Sotirios, Liakakos, Theodoros
Format: Article
Language:English
Subjects:
Hybrid surgery
Stent-graft
Surgery
Thoracic aorta
Thoracic endovascular aneurysm repair
vascular access
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Summary:Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed.
ISSN:2296-875X
2296-875X
DOI:10.3389/fsurg.2016.00062