TY - JOUR
T1 - A novel technique of total debranching TEVAR with inflow from the descending aorta
AU - Munehiro, Saiki
AU - Keiji, Yunoki
AU - Naoya, Sakoda
AU - Shigeru, Hattori
AU - Gaku, Uchino
AU - Takuya, Kawabata
AU - Yasufumi, Fujita
AU - Kunikazu, Hisamochi
AU - Hideo, Yoshida
N1 - Publisher Copyright:
© 2017, The Japanese Association for Thoracic Surgery.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - 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.
AB - 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.
KW - Inflow from the descending aorta
KW - TEVAR
KW - Total debranching
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U2 - 10.1007/s11748-017-0770-4
DO - 10.1007/s11748-017-0770-4
M3 - Article
C2 - 28386812
AN - SCOPUS:85017137031
SN - 1863-6705
VL - 66
SP - 108
EP - 110
JO - General Thoracic and Cardiovascular Surgery
JF - General Thoracic and Cardiovascular Surgery
IS - 2
ER -