Novel modification of a branched arch endograft with a retrograde left common carotid branch for acute pseudoaneurysm post type A repair

被引：2

作者：

Lim, Eric T. A. ^{[1
,2
,4
]}

Benson, Ruth ^{[1
,2
]}

Lyons, Oliver ^{[1
,2
]}

Laing, Andrew ^{[3
]}

Khanafer, Adib ^{[1
,2
]}

机构：

[1] Christchurch Hosp, Dept Vasc Endovasc & Transplant Surg, Christchurch, New Zealand

[2] Univ Otago Christchurch, Dept Surg, Christchurch, New Zealand

[3] Christchurch Hosp, Dept Intervent Radiol, Christchurch, New Zealand

[4] Christchurch Hosp, Dept Vasc Endovasc & Transplant Surg, Christchurch 8140, New Zealand

来源：

VASCULAR | 2024年 / 32卷 / 03期

关键词：

Endovascular; aortic arch; endograft; arch branch; pseudoaneurysm;

D O I：

10.1177/17085381231153219

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Objective Pseudoaneurysm formation post type A aortic dissection repair is rare. Revision surgical repair is challenging, with a risk of death from haemorrhage. Methods We present a 56-year-old man who presented with a rapidly enlarging distal ascending aortic anastomotic pseudoaneurysm following a recent ascending and hemiarch replacement for acute type A aortic dissection. Results A tight kink in the ascending aortic graft precluded an endovascular repair utilizing two antegrade branches, and so a novel custom-made 3 inner branched aortic endograft was designed, with an antegrade brachiocephalic inner branch and retrograde left common carotid and subclavian artery inner branches. The patient required an angioplasty to dilate the kinked/coarcted surgical graft, but made an uneventful recovery. Conclusion An aortic arch inner branch design with an antegrade brachiocephalic branch but retrograde left common carotid and left subclavian branches was feasible and may prove particularly useful when there is limited space in the ascending aorta.

引用

页码：533 / 536

页数：4

共 10 条

[1] Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS) [J].