Medical College of Wisconsin
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A novel hybrid approach using antegrade visceral debranching from both axillary arteries for thoracoabdominal aneurysm repair. Ann Vasc Surg 2014 Feb;28(2):498-502

Date

12/18/2013

Pubmed ID

24342446

DOI

10.1016/j.avsg.2013.05.010

Scopus ID

2-s2.0-84895073148 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

Hybrid aortic surgery combining visceral debranching and stent grafting is an alternative to conventional open surgery and branched stent grafting for thoracoabdominal aneurysm repair. Visceral aortic branch bypasses are usually performed from the iliac arteries or the infrarenal or ascending aorta. Herein, we describe a new debranching technique to treat a painful Crawford type III thoracoabdominal aneurysm in a high-risk patient who was deemed unsuitable for open, endovascular, or traditional hybrid repair. The superior mesenteric artery and the right renal arteries were exposed via a right retroperitoneal approach and revascularized from the right axillary artery. Splenic and left renal arteries were exposed via a left retroperitoneal approach and revascularized from the left axillary artery.

Author List

Cochennec F, Boulitrop C, Coggia M, Wohlauer M, Majewski M, Becquemin JP



MESH terms used to index this publication - Major topics in bold

Aortic Aneurysm, Abdominal
Aortic Aneurysm, Thoracic
Aortography
Axillary Artery
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Endovascular Procedures
Female
Humans
Mesenteric Artery, Superior
Middle Aged
Prosthesis Design
Renal Artery
Tomography, X-Ray Computed
Treatment Outcome