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

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...

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Bibliographic Details
Published inAnnals of vascular surgery Vol. 36; pp. 297.e1 - 297.e5
Main Authors Mendiz, Oscar A, Fraguas, Hugo, Fava, Carlos M
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.10.2016
Subjects
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - physiopathology
Aortic Aneurysm - surgery
Aortography - methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - adverse effects
Blood Vessel Prosthesis Implantation - instrumentation
Computed Tomography Angiography
Endoleak - etiology
Endovascular Procedures - adverse effects
Endovascular Procedures - instrumentation
Female
Humans
Internal Mammary-Coronary Artery Anastomosis
Middle Aged
Prosthesis Design
Stents
Surgery
Time Factors
Treatment Outcome
Vascular Patency
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Summary: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.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0890-5096
1615-5947
DOI:10.1016/j.avsg.2016.03.033