Successful Surgical Abdominal Aortic Debranching Preceding Stent Graft Implantation: A Case Report

Magdalena L. Laux; Michael Erb; Frank Hoelschermann; Johannes M. Albes

doi:10.1055/s-0038-1660834

The Thoracic and Cardiovascular Surgeon Reports, Table of Contents

CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2018; 07(01): e24-e26
DOI: 10.1055/s-0038-1660834

Case Report: Vascular

Georg Thieme Verlag KG Stuttgart · New York

Successful Surgical Abdominal Aortic Debranching Preceding Stent Graft Implantation: A Case Report

Authors

Magdalena L. Laux

¹Department of Cardiovascular Surgery, Brandenburg Heart Center, University Hospital, Brandenburg Medical School Theodor Fontane, Bernau, Germany
Michael Erb

¹Department of Cardiovascular Surgery, Brandenburg Heart Center, University Hospital, Brandenburg Medical School Theodor Fontane, Bernau, Germany
Frank Hoelschermann

²Department of Cardiology, Brandenburg Heart Center, Bernau, Germany
Johannes M. Albes

¹Department of Cardiovascular Surgery, Brandenburg Heart Center, University Hospital, Brandenburg Medical School Theodor Fontane, Bernau, Germany

Abstract

Background Acute endovascular aneurysm repair with stent grafts (thoracic endovascular aortic repair [TEVAR]) is safe and feasible.

Case Description A 64-year-old female presented with a perforated aortic aneurysm of the thoracic descending aorta. Primary TEVAR resulted in good management of the perforation but a type Ib endoleakage remained postoperatively. To place another stent, abdominal debranching with saphenous vein bypass to the celiac trunk was required. In the same session, another endograft was inserted successfully.

Conclusion Abdominal debranching is a safe alternative to open aortic repair in acute thoracic and abdominal aneurysms, instead of waiting for a custom-made device.

Keywords

TEVAR - abdominal debranching - celiac trunk - perforated aortic aneurysm

Full Text

References

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