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. 2016 Aug 28;2(3):143-144.
doi: 10.1016/j.jvscit.2016.05.009. eCollection 2016 Sep.

Total aortic arch endovascular repair using an iliac branch device

Raffaello Bellosta  1 , Luca Luzzani  1 , Monica Vescovi  1 , Antonio Sarcina  1
Affiliations

Total aortic arch endovascular repair using an iliac branch device

Raffaello Bellosta et al. J Vasc Surg Cases Innov Tech. .

Abstract

A 76-year-old man who 2 years before underwent thoracic endovascular aortic repair for aneurysm of the aortic arch was admitted to our department with dysphonia and dysphagia due to an increasing diameter of aneurysm of the aortic arch because of type Ia endoleak. To obtain an adequate proximal neck for conventional thoracic endovascular aortic repair, the double chimney graft technique was chosen using a hypogastric component of the iliac branch Excluder (W. L. Gore & Associates, Flagstaff, Ariz) for the anonymous trunk. At 1-year follow-up, computed tomography scan showed patent chimney graft and no endoleaks. This is the first report in the literature using a hypogastric branch in the aortic arch.

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Figures

Fig 1
Fig 1
Computed tomography (CT) rendering of aneurysm of the aortic arch.
Fig 2
Fig 2
Computed tomography (CT) reconstruction showing endoleak after aortic arch stent graft, left subclavian artery embolization with Amplatzer vascular plug, and left common carotid bare-metal stent.
Fig 3
Fig 3
Final angiogram showing patency of chimney grafts and complete resolution of endoleak.
Fig 4
Fig 4
Postoperative computed tomography (CT) rendering of thoracic endovascular aortic repair (TEVAR) and double chimney grafts of aortic arch: iliac branch Excluder for anonymous trunk and Viabahn for left common carotid artery.
See this image and copyright information in PMC

References

    1. Ouzounian M., LeMaire S.A., Coselli J.S. Open aortic arch repair: state-of-the-art and future perspectives. Semin Thorac Cardiovasc Surg. 2013;25:107–115. - PubMed
    1. Iba Y., Minatoya K., Matsuda H., Sasaki H., Tanaka H., Oda T., et al. How should aortic arch aneurysms be treated in the endovascular aortic repair era? A risk-adjusted comparison between open and hybrid arch repair using propensity score-matching analysis. Eur J Cardiothorac Surg. 2014;46:32–39. - PubMed
    1. De Rango P., Ferrer C., Coscarella C., Musumeci F., Verzini F., Pogany G., et al. Contemporary comparison of aortic arch repair by endovascular and open surgical reconstructions. J Vasc Surg. 2015;61:339–346. - PubMed
    1. Bin Jabr A., Lindblad B., Dias N., Resch T., Malina M. Efficacy and durability of the chimney graft technique in urgent and complex thoracic endovascular aortic repair. J Vasc Surg. 2015;61:886–894. - PubMed
    1. Hogendoorn W., Schlösser F., Moll F., Muhs B.E., Hunink M., Sumio B.E. Thoracic endovascular aortic repair with the chimney graft technique. J Vasc Surg. 2013;58:502–511. - PubMed

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