Midterm clinical outcome of a case of aortic arch aneurysm treated with a novel arch stentgraft system.

Autor: Singh, Sukhdeep, Chow, Simon C. Y., Ho, Jacky Y. K., Fujikawa, Takuya, Chu, Cheuk Man, Yu, Simon C. H., Wong, Randolph H. L.
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Zdroj: Journal of Cardiac Surgery; Nov2022, Vol. 37 Issue 11, p3908-3911, 4p, 4 Color Photographs
Abstrakt: Introduction: Open surgery is the gold standard treatment for aortic arch disease. However, due to its complexity, open arch replacement is associated with considerable risk of mortality and morbidity.Method: We report a case of a 71-year-old gentleman with multiple comorbidities and symptomatic 7 cm aortic arch aneurysm who was treated with a single-stage carotid-carotid and left carotid-axillary bypass followed by zone 0 aortic arch stenting with bimodular Nexus™ stent graft.Results: Post-operatively, the patient suffered from a minor stroke with full neurological recovery. Follow-up computed tomography of the aorta 3 years post-stenting showed excellent stent position with no endoleak and complete resolution of the saccular aneurysm.Discussion: The midterm result of our patient who was successfully treated with an off-the-shelf single branch, bimodular stent graft system is excellent with complete resolution of the arch saccular aneurysm at 3-year after the operation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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