Endovascular Repair of an Aortic Arch Aneurysm with Triple Chimney Stent Grafts: A Case Report

Oscar A Mendiz; Hugo Fraguas; Carlos M Fava

doi:10.1016/j.avsg.2016.03.033

Endovascular Repair of an Aortic Arch Aneurysm with Triple Chimney Stent Grafts: A Case Report

Ann Vasc Surg. 2016 Oct:36:297.e1-297.e5. doi: 10.1016/j.avsg.2016.03.033. Epub 2016 Jul 15.

Authors

Oscar A Mendiz¹, Hugo Fraguas², Carlos M Fava²

Affiliations

¹ Department of Interventional Cardiology and Cardiovascular Surgery, Hospital Universitario, Fundación Favaloro, Buenos Aires, Argentina. Electronic address: omendiz@ffavaloro.org.
² Department of Interventional Cardiology and Cardiovascular Surgery, Hospital Universitario, Fundación Favaloro, Buenos Aires, Argentina.

PMID: 27427353
DOI: 10.1016/j.avsg.2016.03.033

Abstract

The treatment of an aortic arch aneurysm in high-risk individuals poses a significant challenge. We present a surgical patient with a patent left internal mammary artery (LIMA) graft and a large aortic arch aneurysm who underwent aortic stent-graft implantation and complete endovascular branching to preserve the LIMA inflow, with successful exclusion of the aneurysm. A moderate flow, proximal type I endoleak was observed after deployment that disappeared at 2-year follow-up.

Publication types

Case Reports

MeSH terms

Aortic Aneurysm / diagnostic imaging
Aortic Aneurysm / physiopathology
Aortic Aneurysm / surgery*
Aortography / methods
Blood Vessel Prosthesis Implantation / adverse effects
Blood Vessel Prosthesis Implantation / instrumentation*
Blood Vessel Prosthesis*
Computed Tomography Angiography
Endoleak / etiology
Endovascular Procedures / adverse effects
Endovascular Procedures / instrumentation*
Female
Humans
Internal Mammary-Coronary Artery Anastomosis*
Middle Aged
Prosthesis Design
Stents*
Time Factors
Treatment Outcome
Vascular Patency