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The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection

While thoracic endovascular aortic repair is an effective treatment option for descending thoracic aorta pathology, it does have limitations. The main limitation is related to the anatomical difficulties when disease involves the aortic arch. A fenestrated, branched aortic stent graft and hybrid ope...

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Autores principales: Lee, Kyung Nam, Lee, Han Cheol, Park, Jin Sup, Kim, Bo Won, Cha, Kwang Soo, Kim, Sang-Pil, Lee, Chung Won, Kim, Hae Kyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369971/
https://www.ncbi.nlm.nih.gov/pubmed/22701139
http://dx.doi.org/10.4070/kcj.2012.42.5.360
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author Lee, Kyung Nam
Lee, Han Cheol
Park, Jin Sup
Kim, Bo Won
Cha, Kwang Soo
Kim, Sang-Pil
Lee, Chung Won
Kim, Hae Kyu
author_facet Lee, Kyung Nam
Lee, Han Cheol
Park, Jin Sup
Kim, Bo Won
Cha, Kwang Soo
Kim, Sang-Pil
Lee, Chung Won
Kim, Hae Kyu
author_sort Lee, Kyung Nam
collection PubMed
description While thoracic endovascular aortic repair is an effective treatment option for descending thoracic aorta pathology, it does have limitations. The main limitation is related to the anatomical difficulties when disease involves the aortic arch. A fenestrated, branched aortic stent graft and hybrid operation has been introduced to overcome this limitation, but it is a custom-made device and is time consuming to manufacture. Furthermore, these devices cannot be used in an emergency setting. We report two patients with massive descending thoracic aortic aneurysm and ruptured aortic dissection very near the aortic arch who underwent a procedure which we named the modified chimney technique. The modified chimney technique can be used as a treatment option in such an emergency situation or as a rescue procedure when aortic pathology is involved near the supra-aortic vessels.
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spelling pubmed-33699712012-06-13 The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection Lee, Kyung Nam Lee, Han Cheol Park, Jin Sup Kim, Bo Won Cha, Kwang Soo Kim, Sang-Pil Lee, Chung Won Kim, Hae Kyu Korean Circ J Case Report While thoracic endovascular aortic repair is an effective treatment option for descending thoracic aorta pathology, it does have limitations. The main limitation is related to the anatomical difficulties when disease involves the aortic arch. A fenestrated, branched aortic stent graft and hybrid operation has been introduced to overcome this limitation, but it is a custom-made device and is time consuming to manufacture. Furthermore, these devices cannot be used in an emergency setting. We report two patients with massive descending thoracic aortic aneurysm and ruptured aortic dissection very near the aortic arch who underwent a procedure which we named the modified chimney technique. The modified chimney technique can be used as a treatment option in such an emergency situation or as a rescue procedure when aortic pathology is involved near the supra-aortic vessels. The Korean Society of Cardiology 2012-05 2012-05-24 /pmc/articles/PMC3369971/ /pubmed/22701139 http://dx.doi.org/10.4070/kcj.2012.42.5.360 Text en Copyright © 2012 The Korean Society of Cardiology http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Kyung Nam
Lee, Han Cheol
Park, Jin Sup
Kim, Bo Won
Cha, Kwang Soo
Kim, Sang-Pil
Lee, Chung Won
Kim, Hae Kyu
The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection
title The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection
title_full The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection
title_fullStr The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection
title_full_unstemmed The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection
title_short The Modified Chimney Technique With a Thoracic Aortic Stent Graft to Preserve the Blood Flow of the Left Common Carotid Artery for Treating Descending Thoracic Aortic Aneurysm and Dissection
title_sort modified chimney technique with a thoracic aortic stent graft to preserve the blood flow of the left common carotid artery for treating descending thoracic aortic aneurysm and dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369971/
https://www.ncbi.nlm.nih.gov/pubmed/22701139
http://dx.doi.org/10.4070/kcj.2012.42.5.360
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