Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure

Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessfu...

Descripción completa

Detalles Bibliográficos
Autores principales: Bakoyiannis, Chris, Moris, Demetrios, Karaolanis, George, Patelis, Nikolaos, Schizas, Dimitrios, Georgopoulos, Sotirios, Liakakos, Theodoros
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2016
Materias:
Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102893/
https://www.ncbi.nlm.nih.gov/pubmed/27891504
http://dx.doi.org/10.3389/fsurg.2016.00062
_version_ 1782466497743945728
author Bakoyiannis, Chris
Moris, Demetrios
Karaolanis, George
Patelis, Nikolaos
Schizas, Dimitrios
Georgopoulos, Sotirios
Liakakos, Theodoros
author_facet Bakoyiannis, Chris
Moris, Demetrios
Karaolanis, George
Patelis, Nikolaos
Schizas, Dimitrios
Georgopoulos, Sotirios
Liakakos, Theodoros
author_sort Bakoyiannis, Chris
collection PubMed
description Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed.
format Online
Article
Text
id pubmed-5102893
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-51028932016-11-25 Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure Bakoyiannis, Chris Moris, Demetrios Karaolanis, George Patelis, Nikolaos Schizas, Dimitrios Georgopoulos, Sotirios Liakakos, Theodoros Front Surg Surgery Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed. Frontiers Media S.A. 2016-11-10 /pmc/articles/PMC5102893/ /pubmed/27891504 http://dx.doi.org/10.3389/fsurg.2016.00062 Text en Copyright © 2016 Bakoyiannis, Moris, Karaolanis, Patelis, Schizas, Georgopoulos and Liakakos. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Bakoyiannis, Chris
Moris, Demetrios
Karaolanis, George
Patelis, Nikolaos
Schizas, Dimitrios
Georgopoulos, Sotirios
Liakakos, Theodoros
Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure
title Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure
title_full Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure
title_fullStr Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure
title_full_unstemmed Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure
title_short Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure
title_sort thoracic aorta aneurysm repair in a patient with a solitary kidney: hybrid surgery as a bailout procedure
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5102893/
https://www.ncbi.nlm.nih.gov/pubmed/27891504
http://dx.doi.org/10.3389/fsurg.2016.00062
work_keys_str_mv AT bakoyiannischris thoracicaortaaneurysmrepairinapatientwithasolitarykidneyhybridsurgeryasabailoutprocedure
AT morisdemetrios thoracicaortaaneurysmrepairinapatientwithasolitarykidneyhybridsurgeryasabailoutprocedure
AT karaolanisgeorge thoracicaortaaneurysmrepairinapatientwithasolitarykidneyhybridsurgeryasabailoutprocedure
AT patelisnikolaos thoracicaortaaneurysmrepairinapatientwithasolitarykidneyhybridsurgeryasabailoutprocedure
AT schizasdimitrios thoracicaortaaneurysmrepairinapatientwithasolitarykidneyhybridsurgeryasabailoutprocedure
AT georgopoulossotirios thoracicaortaaneurysmrepairinapatientwithasolitarykidneyhybridsurgeryasabailoutprocedure
AT liakakostheodoros thoracicaortaaneurysmrepairinapatientwithasolitarykidneyhybridsurgeryasabailoutprocedure

Ejemplares similares