Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Breast Surgery
- Minimally Invasive Surgery
- General Surgery
- Otolaryngology - Head and Neck Surgery
- Robotic Surgery
- Surgical Oncology
- Oral and Maxillofacial Surgery
- Obstetrics Surgery
Abstract
Citation: Clin Surg. 2016;1(1):1011.Case Report | Open Access
Hybrid Approach to Complex Arch and Thoracoabdominal Aneurysms in a Case of High-Risk Patient
Ohta H, Ohki T, Kanaoka Y, Kurosawa K, Fukushima S and ToyaN
Division of Vascular Surgery, Department of Surgery, Jikei University Graduate School of Medicine, Japan
Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, Japan
Division of Vascular Surgery, Department of Surgery, Jikei University Kashiwa Hospital, Japan
*Correspondance to: Hiroki Ohta
PDF Full Text DOI: 10.25107/2474-1647.1011
Abstract
Endovascular therapy is a less invasive alternative treatment with aortic aneurysm. However in patients with multiple aneurysms, the surgical procedures orders of operating are controversial. The present report describes the case of a 65-year-old man with aneurysms in which the aortic arch (Zone 1) and the thoracoabdominal aorta (Crawford extent IV) presented challenge for complex aortic morphology. The patient had diagnosed as being inoperable at other university hospitals, because of a marked decrease of cardiopulmonary function. Therefore we preformed two-stage stent graft operations. Endovascular repair was achieved using additional common carotid artery (CCA) to CCA bypass into the aortic arch, and using fenestrated and branched stent graft into the visceral aortic segment. Before secondary operation, the patient had a contained rupture of the TAAA. His postoperative course was uneventful. The hybrid approach of surgical debranching and endovascular stent grafting for high-risk patients makes it possible to obtain a chance for effectively treating the multiple aneurysms.
Keywords
Cite the article
Ohta H,Ohki T, Kanaoka Y, Kurosawa K, Fukushima S, ToyaN. Hybrid Approach to Complex Arch and Thoracoabdominal Aneurysms in a Case of High-Risk Patient. Clin Surg. 2016; 1: 1011.