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Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion
We present the case of an 86-year-old male with an aortic arch saccular aneurysm who underwent zone 1 thoracic endovascular aortic repair (TEVAR) with debranching from the right subclavian artery to the left carotid and left subclavian arteries. The patient developed a type Ia endoleak 1 month later...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184032/ https://www.ncbi.nlm.nih.gov/pubmed/29695652 http://dx.doi.org/10.5761/atcs.cr.18-00001 |
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author | Sueda, Taijiro Takahashi, Shinya Katayama, Keijiro |
author_facet | Sueda, Taijiro Takahashi, Shinya Katayama, Keijiro |
author_sort | Sueda, Taijiro |
collection | PubMed |
description | We present the case of an 86-year-old male with an aortic arch saccular aneurysm who underwent zone 1 thoracic endovascular aortic repair (TEVAR) with debranching from the right subclavian artery to the left carotid and left subclavian arteries. The patient developed a type Ia endoleak 1 month later. Postoperative contrast computed tomography (CT) showed a hematoma around the aneurysm, concerning for impending rupture. He thus underwent emergency endograft removal and replacement with a one-branched graft using selective cerebral perfusion via the left subclavian artery perfusion. The left subclavian artery was used for systemic and cerebral perfusion without need for cannulation of the cervical arteries. The patient was successfully discharged 6 months after surgery. |
format | Online Article Text |
id | pubmed-7184032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-71840322020-04-27 Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion Sueda, Taijiro Takahashi, Shinya Katayama, Keijiro Ann Thorac Cardiovasc Surg Case Report We present the case of an 86-year-old male with an aortic arch saccular aneurysm who underwent zone 1 thoracic endovascular aortic repair (TEVAR) with debranching from the right subclavian artery to the left carotid and left subclavian arteries. The patient developed a type Ia endoleak 1 month later. Postoperative contrast computed tomography (CT) showed a hematoma around the aneurysm, concerning for impending rupture. He thus underwent emergency endograft removal and replacement with a one-branched graft using selective cerebral perfusion via the left subclavian artery perfusion. The left subclavian artery was used for systemic and cerebral perfusion without need for cannulation of the cervical arteries. The patient was successfully discharged 6 months after surgery. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2018-04-26 2020 /pmc/articles/PMC7184032/ /pubmed/29695652 http://dx.doi.org/10.5761/atcs.cr.18-00001 Text en ©2020 Annals of Thoracic and Cardiovascular Surgery http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NonDerivatives International License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Report Sueda, Taijiro Takahashi, Shinya Katayama, Keijiro Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion |
title | Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion |
title_full | Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion |
title_fullStr | Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion |
title_full_unstemmed | Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion |
title_short | Total Aortic Arch Replacement after Thoracic Endovascular Aortic Repair Using Left Subclavian Arterial Perfusion |
title_sort | total aortic arch replacement after thoracic endovascular aortic repair using left subclavian arterial perfusion |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184032/ https://www.ncbi.nlm.nih.gov/pubmed/29695652 http://dx.doi.org/10.5761/atcs.cr.18-00001 |
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