A novel technique of total debranching TEVAR with inflow from the descending aorta

Saiki Munehiro, Yunoki Keiji, Sakoda Naoya, Hattori Shigeru, Uchino Gaku, Kawabata Takuya, Fujita Yasufumi, Hisamochi Kunikazu, Yoshida Hideo

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

An 82-year-old male with TAA was considered high risk for conventional surgery because of previous CABG. Therefore, a hybrid repair was performed. First, the arch vessels were debranched extra-anatomical bypass. Second, left thoracotomy was performed. The proximal side of a bifurcated graft was anastomosed to the descending aorta. To arch vessels’ debranch graft, two bifurcated graft distal limbs were anastomosed with a 10-mm distance. Two stentgrafts were deployed from the ascending to descending aorta. Postoperative CT did not reveal any endoleak, and all debranch grafts were patent.

Original languageEnglish
Pages (from-to)108-110
Number of pages3
JournalGeneral Thoracic and Cardiovascular Surgery
Volume66
Issue number2
DOIs
Publication statusPublished - Feb 1 2018
Externally publishedYes

Keywords

  • Inflow from the descending aorta
  • TEVAR
  • Total debranching

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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