Total endovascular treatment of an aortic arch aneurysm in a patient with a mechanical aortic valve

Eur J Vasc Endovasc Surg. 2014 Aug;48(2):144-6. doi: 10.1016/j.ejvs.2014.05.011. Epub 2014 Jun 18.

Abstract

Introduction: Endovascular repair of aortic arch aneurysms using an inner-branched device is a new treatment option for patients unfit for open surgery. There are many anatomical restrictions, such as the presence of a mechanical aortic valve that can contraindicate this complete endovascular approach.

Report: A new delivery system to overcome this issue has been developed. This new system was used to treat an aortic arch aneurysm 77 mm in diameter in a 37-year-old patient with Marfan's syndrome. The patient was considered to be at major risk for open surgery because of severe respiratory insufficiency following a second sternotomy.

Discussion: Total endovascular arch aneurysm repair is no longer contraindicated in patients with a mechanical aortic valve.

Keywords: Aneurysm; Aortic valve; Arch; Endograft.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / etiology
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Valve Insufficiency / complications
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Endovascular Procedures* / adverse effects
  • Heart Valve Prosthesis Implantation / adverse effects
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Marfan Syndrome / complications*
  • Patient Selection
  • Risk Factors
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome