Technical Strategy for the Endovascular Management of Ascending Aortic Pseudoaneurysm

被引:13
作者
Gray, Bruce H. [1 ]
Langan, Eugene M., III [1 ]
Manos, Ginger [1 ]
Bair, Leah [1 ]
Lysak, Steven Z. [2 ]
机构
[1] Greenville Hosp Syst Univ Med Ctr, Dept Surg, Greenville, SC 29615 USA
[2] Greenville Hosp Syst Univ Med Ctr, Dept Anesthesiol, Greenville, SC 29615 USA
关键词
STENT GRAFT; ARCH; DEPLOYMENT; REPAIR;
D O I
10.1016/j.avsg.2012.03.003
中图分类号
R61 [外科手术学];
学科分类号
摘要
We present two cases of ascending aortic pseudoaneurysm exclusion with off-the-shelf aortic stent grafts. The right common carotid artery was used for access to facilitate graft delivery. Control of graft deployment was aided using a compliant right atrial occlusion balloon to lower cardiac output at the time of deployment. Transesophageal echocardiography facilitated the sizing and positioning of the right atrial balloon and was used to survey the heart and ascending aorta on successful exclusion of the pseudoaneurysm. These simple maneuvers made an uncommon procedure straight forward, predictable, and successful.
引用
收藏
页码:734 / 738
页数:5
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