Intercostal artery incorporation to prevent spinal cord ischemia during total endovascular thoracoabdominal aortic repair
| Autor: | Miguel F. Manzur, Gregory A. Magee, Mark J. Cunningham, Fernando Fleischman, Sukgu M. Han, Anastasia Plotkin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry medicine.disease Aortic repair Left Common Iliac Artery Thrombosis Surgery Pseudoaneurysm Aortic aneurysm Lumbar Aneurysm Adult: Aorta: Evolving Technology: Surgical Technique medicine.artery cardiovascular system medicine cardiovascular diseases business Intercostal arteries |
| Zdroj: | JTCVS Techniques |
| ISSN: | 2666-2507 |
| Popis: | A 71-year-old man with prior total arch repair and open repair of Crawford extent II thoracoabdominal aortic aneurysm (TAAA) presented with hemoptysis in the setting of two large pseudoaneurysms of his intercostal and visceral artery Carrel patches and left common iliac artery aneurysm. Despite a presumed aortobronchial fistula, endovascular repair was planned due to his advanced age, and prior extensive open aortic repairs. A thoracic endograft modified with a single caudally directed side branch was used to repair the intercostal patch pseudoaneurysm, while preserving flow to the intercostal artery. Subsequently, he underwent a 4-vessel fenestrated endovascular aortic repair with left iliac branched endograft. Completion CTA demonstrated thrombosis of both pseudoaneurysms, preservation of flow into all branches, and no endoleak. Due to preservation of the intercostal artery, the endovascular repairs were completed without lumbar drain placement. |
| Databáze: | OpenAIRE |
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