Off-the-Shelf, Hybrid, Innominate Chimney Thoracic Endovascular Aneurysm Repair for Treatment of Mycotic Thoracic Aortic Aneurysm: A Case Report

Autor:	Sim Pei Yin Dayna, Nick Ng Zhi Peng, Lee Qingwei Shaun
Jazyk:	English<br />Korean
Rok vydání:	2024
Předmět:	mycotic aneurysm thoracic aortic aneurysm innominate artery endovascular aneurysm repair endoleak Diseases of the blood and blood-forming organs RC633-647.5 Diseases of the circulatory (Cardiovascular) system RC666-701
Zdroj:	Vascular Specialist International, Vol 40 (2024)
Druh dokumentu:	article
ISSN:	2288-7970 2288-7989
DOI:	10.5758/vsi.230126
Popis:	Mycotic thoracic aortic aneurysm (MTAA) is a disease that is difficult to treat and often lethal. Open repair has high morbidity and mortality risks; additionally, thoracic endovascular aneurysm repair (TEVAR) often requires innovative techniques. We report the use of an innominate artery chimney endovascular aneurysm repair (ChEVAR) with carotid-carotid and carotid-left subclavian artery bypass for a time-sensitive Salmonella-related MTAA. A symptomatic type 1a endoleak was discovered and promptly and successfully treated. This report shows that the use of innominate artery ChEVAR to treat MTAA is feasible and safe, although the procedure is rarely performed, even in large series. We hypothesize that prophylactic gutter embolization is a feasible option in view of the high endoleak risks in such cases, although further evidence is required to support this.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/184fd8a2b7974babbfbd358458a2bf3a Zobrazit plný text záznamu View record in DOAJ