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Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction
- Source :
- Case Reports in Medicine, Case Reports in Medicine, Vol 2017 (2017)
- Publication Year :
- 2017
- Publisher :
- Hindawi Limited, 2017.
-
Abstract
- Treatment of thoracic aortic aneurysms constitutes high mortality and morbidity rates despite improvements in surgery, anesthesia, and technology. Endovascular stent grafting may be an alternative therapy with lower risks when compared with conventional techniques. However, sometimes the branches of the aortic arch may require transport to the proximal segments prior to successful thoracic aortic endovascular stent grafting. Atherosclerosis is accounted among the etiology of both aneurysms and occlusive diseases that can coexist in the same patient. In these situations stent grafting may even be more complicated. In this report, we present the treatment of a 92-year-old patient with aortic arch aneurysm and proximal descending aortic aneurysm. For successful thoracic endovascular stent grafting, the patient needed an alternative route other than the native femoral and iliac arteries for the deployment of the stent graft. In addition, debranching of left carotid and subclavian arteries from the aortic arch was also required for successful exclusion of the thoracic aneurysm.
- Subjects :
- Aortic arch
medicine.medical_specialty
Alternative therapy
medicine.medical_treatment
lcsh:Medicine
Aortoiliac occlusive disease
Case Report
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Aneurysm
medicine.artery
medicine
cardiovascular diseases
business.industry
lcsh:R
High mortality
Stent
General Medicine
Aortic arch aneurysm
Stent grafting
medicine.disease
Surgery
surgical procedures, operative
030220 oncology & carcinogenesis
cardiovascular system
Radiology
business
Subjects
Details
- ISSN :
- 16879635 and 16879627
- Volume :
- 2017
- Database :
- OpenAIRE
- Journal :
- Case Reports in Medicine
- Accession number :
- edsair.doi.dedup.....90d0fb03b83c197b16323300a138ff0e