Surgeon-modified endovascular grafts for treating ruptured arch aneurysm due to proximal endograft failure after thoracic endovascular aneurysm repair combined with total debranching

Tsuyoshi Shibata; Masami Shingaki; Kiyofumi Morishita

doi:10.1007/s11748-020-01414-2

Surgeon-modified endovascular grafts for treating ruptured arch aneurysm due to proximal endograft failure after thoracic endovascular aneurysm repair combined with total debranching

Gen Thorac Cardiovasc Surg. 2021 Jan;69(1):118-121. doi: 10.1007/s11748-020-01414-2. Epub 2020 Jun 26.

Authors

Tsuyoshi Shibata¹, Masami Shingaki², Kiyofumi Morishita²

Affiliations

¹ Department of Cardiovascular Surgery, Hakodate Municipal Hospital, 1-10-1 Minatocho, Hokkaido, Hakodate, 041-0821, Japan. shibatatsuyoshi0827@yahoo.co.jp.
² Department of Cardiovascular Surgery, Hakodate Municipal Hospital, 1-10-1 Minatocho, Hokkaido, Hakodate, 041-0821, Japan.

PMID: 32591965
DOI: 10.1007/s11748-020-01414-2

Abstract

Generally, proximal endograft failure after total arch debranching and thoracic endovascular repair (TEVAR) is one of the most difficult problems because re-sternotomy poses extremely high risks to patients with high surgical risk. Herein, we report an endovascular technique using surgeon-modified endovascular grafts for a patient with ruptured arch aneurysm caused by type Ia endoleak following total arch debranching and TEVAR.

Keywords: Arch aneurysm; Debranching; Rupture; Surgeon-modified; TEVAR.

MeSH terms

Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery
Aortic Aneurysm, Abdominal*
Aortic Aneurysm, Thoracic* / diagnostic imaging
Aortic Aneurysm, Thoracic* / surgery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / adverse effects
Endovascular Procedures* / adverse effects
Humans
Retrospective Studies
Stents
Surgeons*
Treatment Outcome