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. 2015;8(4):340-2.
doi: 10.3400/avd.cr.15-00108. Epub 2015 Nov 27.

Hybrid Thoracic Endovascular Aortic Repair for Intercostal Patch Aneurysm after Thoracoabdominal Aortic Replacement

Hiroto Kitahara  1 , Akihiro Yoshitake  1 , Takashi Hachiya  1 , Kazuma Okamoto  1 , Akinori Hirano  1 , Mio Kasai  1 , Yuta Akamatsu  1 , Hidetoshi Oka  1 , Hideyuki Shimizu  1
Affiliations

Hybrid Thoracic Endovascular Aortic Repair for Intercostal Patch Aneurysm after Thoracoabdominal Aortic Replacement

Hiroto Kitahara et al. Ann Vasc Dis. 2015.

Abstract

We report a case of hybrid thoracic endovascular aortic repair for intercostal patch aneurysm after thoracoabdominal aortic replacement. Eighteen years ago, a 63-year-old woman with Marfan syndrome had undergone thoracoabdominal aortic replacement with reimplantation of the intercostal artery in an island fashion. Follow-up computed tomography (CT) revealed a remaining intercostal patch aneurysm of diameter 60 mm 17 years after the last operation. Hybrid thoracic endovascular aortic repair for exclusion of this intercostal patch aneurysm was successfully performed, with visceral artery bypasses. Postoperative CT showed no anastomotic stenosis or endoleak.

Keywords: intercostal patch aneurysm; thoracic endovascular repair; thoracoabdominal aortic replacement.

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Figures

Fig. 1
Fig. 1
(A) Computed tomography showing the intercostal patch aneurysm of diameter 60 mm. Axial view. (B) Previous aortic graft. Axial view. (C) Bilateral iliac arteries are dilated to 25 mm. Axial view. (D) Posterior three-dimensional (3D) view. (E) Lateral 3D view. White arrow points previous artery bypass graft.
Fig. 2
Fig. 2
(A) Postoperative computed tomography showing no anastomotic stenosis or endoleak. Anterior view. (B) Lateral view.
See this image and copyright information in PMC

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