Management of expanding aortic arch aneurysm after hybrid endovascular and debranching repair

Eur J Cardiothorac Surg. 2018 Jul 1;54(1):185-186. doi: 10.1093/ejcts/ezx502.

Abstract

Hybrid procedures are used to treat aneurysms of the transverse aortic arch (TAA), combining debranching of the brachiocephalic vessels with endovascular approaches. Continued enlargement of the aneurysmal sac is a late complication. A 60-year-old man presented with an expanding transverse aortic arch aneurysm after prior hybrid repair and underwent left posterolateral thoracotomy, partial excision of the previous stent graft and replacement with an interposition graft.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / pathology
  • Aortic Aneurysm, Thoracic / surgery*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Computed Tomography Angiography
  • Endovascular Procedures / adverse effects*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery
  • Reoperation / methods
  • Thoracotomy / methods