Custom-made double inner-branched aortic arch endograft for the treatment of mycotic aortic arch aneurysm: a case report

Computed tomography angiograms taken (a, b) 3 months and (c, d) 1 year after endovascular repair showing successfuland durable treatment with shrinkage of the aneurysm Discussion To the best of our knowledge, this is the first reported use of a custom-made double inner-branched thoracic aortic endog...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2021-12, Vol.27 (6), p.452
Main Authors: Hau, B J P, Chan, Y C, Cheng, S W
Format: Article
Language:English
Subjects:
Aneurysm
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - surgery
Aortic Aneurysm, Thoracic - diagnostic imaging
Aortic Aneurysm, Thoracic - surgery
Aortic aneurysms
Blood
Blood Vessel Prosthesis Implantation
Carotid arteries
Endovascular Procedures
Frailty
Humans
Hypotension
Patients
Prosthesis Design
Stents
Surgery
Tomography
Treatment Outcome
Veins & arteries
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Summary:Computed tomography angiograms taken (a, b) 3 months and (c, d) 1 year after endovascular repair showing successfuland durable treatment with shrinkage of the aneurysm Discussion To the best of our knowledge, this is the first reported use of a custom-made double inner-branched thoracic aortic endograft for treatment ofSalmonella-related mycotic aortic arch aneurysm. Conventional open repair has always been the gold standard therapy for mycotic aortic aneurysms, but endovascular stent grafts may be a temporising or permanent option in critically ill patients who will not tolerate open surgery.1 2 Custom-made branched thoracic endovascular aortic repair now adds to the armamentarium of options. The operative technique is well described in published literature.3 4 As with most endovascular aortic arch repairs, the most feared complication is of stroke that can occur when atherosclerotic or gaseous emboli are released from the arch or proximal supra-aortic branches during wire and graft manipulation, from clamping of carotid arteries, or due to peri-operative fluctuation of blood pressure.
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj209129