Hybrid Arch Frozen Elephant Trunk for Persistent Endoleak After Thoracic Endovascular Aortic Repair

John H Landau; Luc A Dubois; Michael W A Chu

doi:10.1016/j.athoracsur.2017.05.003

Hybrid Arch Frozen Elephant Trunk for Persistent Endoleak After Thoracic Endovascular Aortic Repair

Ann Thorac Surg. 2017 Sep;104(3):e227-e229. doi: 10.1016/j.athoracsur.2017.05.003.

Authors

John H Landau¹, Luc A Dubois¹, Michael W A Chu²

Affiliations

¹ Division of Vascular, Western University, London, Ontario, Canada.
² Division of Cardiac Surgery, Western University, London, Ontario, Canada. Electronic address: michael.chu@lhsc.on.ca.

PMID: 28838513
DOI: 10.1016/j.athoracsur.2017.05.003

Abstract

Aneurysms of the distal aortic arch and proximal descending thoracic aorta remain challenging to treat. Whereas thoracic endovascular aortic repair (TEVAR) with arch debranching has provided a more minimally invasive option for patients with such aneurysms, recurrent type Ia endoleaks can be difficult or impossible to treat with further endovascular intervention. We report the successful use of a hybrid arch and frozen elephant trunk graft for the treatment of a patient with a recurrent type Ia endoleak after TEVAR and arch debranching.

Publication types

Case Reports

MeSH terms

Aged
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation / adverse effects*
Endoleak / etiology
Endoleak / surgery*
Endovascular Procedures / adverse effects*
Humans
Male
Recurrence