Vascular plug oversizing to treat an endoleak after hybrid surgery of the aortic arch

Vascular plug oversizing to treat an endoleak after hybrid surgery of the aortic arch

Abstract A patient with prior ascending aortic replacement for a type A acute dissection and a bovine arch presented with an asymptomatic chronic dissecting innominate artery aneurysm extending to both carotid arteries. As the patient refused redo open surgery, we performed a hybrid procedure with r...

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Veröffentlicht in:Interactive cardiovascular and thoracic surgery 2020-12, Vol.31 (6), p.906-908
Hauptverfasser: Molinari, Alessandro C L, Leo, Enrico, Muzzarelli, Lorenzo, Rossi, Giovanni
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container_title Interactive cardiovascular and thoracic surgery
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creator Molinari, Alessandro C L
Leo, Enrico
Muzzarelli, Lorenzo
Rossi, Giovanni
description Abstract A patient with prior ascending aortic replacement for a type A acute dissection and a bovine arch presented with an asymptomatic chronic dissecting innominate artery aneurysm extending to both carotid arteries. As the patient refused redo open surgery, we performed a hybrid procedure with reverse extra-anatomic aortic arch debranching and a fenestrated endograft. The aneurysm was still partially perfused due to an endoleak and corrected 1 week later with vascular plugs. Aneurysmal degeneration of a dissected supra-aortic vessel requiring surgical intervention is not a frequently reported topic in literature [1].
doi_str_mv 10.1093/icvts/ivaa197
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title Vascular plug oversizing to treat an endoleak after hybrid surgery of the aortic arch
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