Korean J Thorac Cardiovasc Surg.  2010 Dec;43(6):729-733.

Aortic Arch Debranching and Antegrade Stent Graft Placement in an Expanding Distal Dissecting Aneurysm after Repair of an Acute Type I Aortic Dissection

• Baek WK
• Kim YS
• Lim HK
• Yoon YH
• Kim JT
• Kim KH

Abstract

Endovascular treatment of the aortic aneurysm with a stent graft is rapidly evolving. We describe here a case of hybrid TEVAR (thoracic endovascular aortic repair) in which the stent grafts were placed in the aortic arch after debranching of the arch vessels. The patient had undergone ascending aorta replacement for acute type I aortic dissection 2.5 years earlier. The aneurysmal change of the distal dissection progressed with time. A provisional bypass surgery from the ascending aorta to the innominate artery and left carotid artery was performed and then stent grafts were inserted via an antegrade route that covered the whole aortic arch and proximal descending thoracic aorta.

Keyword

Aortic dissection; Endovascular stent; Aneurysms, aortic; Aorta, arch; Hybrid

MeSH Terms

Aneurysm
Aneurysm, Dissecting
Aorta
Aorta, Thoracic
Aortic Aneurysm
Brachiocephalic Trunk
Carotid Arteries
Chimera
Humans
Stents
Transplants