Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia

Celiac artery (CA) coverage during thoracic endovascular aortic repair has been demonstrated to be a feasible and effective strategy for selected cases. However, there is a potential risk of ischemic complications due to CA coverage in patients with certain types of hereditary hemorrhagic telangiect...

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Autores principales: Kawano, Yuji, Kanaoka, Yuji, Hiraiwa, Nobuhiko, Nakatsuka, Daisuke, Tabata, Minoru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Thoracic and abdominal endovascular aortic repair
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757811/
https://www.ncbi.nlm.nih.gov/pubmed/29349377
http://dx.doi.org/10.1016/j.jvscit.2016.12.006
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author Kawano, Yuji
Kanaoka, Yuji
Hiraiwa, Nobuhiko
Nakatsuka, Daisuke
Tabata, Minoru
author_facet Kawano, Yuji
Kanaoka, Yuji
Hiraiwa, Nobuhiko
Nakatsuka, Daisuke
Tabata, Minoru
author_sort Kawano, Yuji
collection PubMed
description Celiac artery (CA) coverage during thoracic endovascular aortic repair has been demonstrated to be a feasible and effective strategy for selected cases. However, there is a potential risk of ischemic complications due to CA coverage in patients with certain types of hereditary hemorrhagic telangiectasia (HHT). Herein, we report a case of thoracoabdominal aortic rupture in a patient with HHT that was successfully treated with emergency thoracic endovascular aortic repair covering the CA preceded by hepatic artery bypass. We also review the hepatic circulatory derangements and unique considerations in the surgical management of HHT.
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spelling pubmed-57578112018-01-18 Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia Kawano, Yuji Kanaoka, Yuji Hiraiwa, Nobuhiko Nakatsuka, Daisuke Tabata, Minoru J Vasc Surg Cases Innov Tech Thoracic and abdominal endovascular aortic repair Celiac artery (CA) coverage during thoracic endovascular aortic repair has been demonstrated to be a feasible and effective strategy for selected cases. However, there is a potential risk of ischemic complications due to CA coverage in patients with certain types of hereditary hemorrhagic telangiectasia (HHT). Herein, we report a case of thoracoabdominal aortic rupture in a patient with HHT that was successfully treated with emergency thoracic endovascular aortic repair covering the CA preceded by hepatic artery bypass. We also review the hepatic circulatory derangements and unique considerations in the surgical management of HHT. Elsevier 2017-04-25 /pmc/articles/PMC5757811/ /pubmed/29349377 http://dx.doi.org/10.1016/j.jvscit.2016.12.006 Text en © 2017 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Thoracic and abdominal endovascular aortic repair
Kawano, Yuji
Kanaoka, Yuji
Hiraiwa, Nobuhiko
Nakatsuka, Daisuke
Tabata, Minoru
Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia
title Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia
title_full Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia
title_fullStr Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia
title_full_unstemmed Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia
title_short Emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia
title_sort emergency thoracic endovascular aortic repair with celiac artery coverage in hereditary hemorrhagic telangiectasia
topic Thoracic and abdominal endovascular aortic repair
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757811/
https://www.ncbi.nlm.nih.gov/pubmed/29349377
http://dx.doi.org/10.1016/j.jvscit.2016.12.006
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