Complex thoracic aortic aneurysm : A combined open and endovascular approach

The authors wish to describe a combined open and endovascular approach to repair a complex thoracic aortic aneurysm. A 72-year-old man with chronic obstructive pulmonary disease, aortic valvular insufficiency and diffuse thoracic aortic aneurysm underwent aortic valve and ascending aorta replacement...

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Bibliographic Details
Published in:Acta chirurgica belgica 2005-08, Vol.105 (4), p.400-402
Main Authors: WOLTHUIS, A. M, HOUTHOOFD, S, DEFERM, H, HAENEN, L, VERBIST, J, PEETERS, P
Format: Article
Language:English
Subjects:
Aged
Anastomosis, Surgical
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - surgery
Biological and medical sciences
Blood Vessel Prosthesis
General aspects
Heart Valve Prosthesis
Humans
Hyperthermia, Induced
Male
Medical sciences
Peripheral Vascular Diseases - complications
Pulmonary Disease, Chronic Obstructive - complications
Stents
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Description
Summary:The authors wish to describe a combined open and endovascular approach to repair a complex thoracic aortic aneurysm. A 72-year-old man with chronic obstructive pulmonary disease, aortic valvular insufficiency and diffuse thoracic aortic aneurysm underwent aortic valve and ascending aorta replacement by a Bentall-procedure and replacement of arch aneurysm using the elephant trunk technique, performed in a first procedure. During the second procedure, endovascular stenting of the descending thoracic aorta was done. Only a few similar case reports have been presented. Endovascular repair after an elephant trunk procedure for complex thoracic aortic aneurysms is an elegant approach to deal with such mega aortas. Further research is necessary to compare open and endovascular repair and to determine long-term follow-up with regard to endoleaks and mortality.
ISSN:0001-5458
DOI:10.1080/00015458.2005.11679745