Endovascular repair for a descending thoracic aortic aneurysm with a stent-graft covering the celiac artery: Report of two cases

被引：0
作者：
Hiroyuki Ishibashi
Tsuneo Ishiguchi
Takashi Ohta
Ikuo Sugimoto
Jun Kawanishi
Tetsuya Yamada
Noriyuki Hida
Seiji Kamei
机构：
[1] Aichi Medical University,Department of Vascular Surgery
[2] Aichi Medical University,Department of Radiology
来源：
Surgery Today | 2009年 / 39卷
关键词：
Endovascular aneurysm repair; Stent-graft; Thoracic aortic aneurysm; Celiac artery;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
An adequate landing zone for fixation and sealing is necessary for endovascular aneurysm repair (EVAR). This report presents two cases of a successful EVAR for thoracic aortic aneurysms (TAA) with a stent-graft covering the celiac artery (CA) to secure a distal landing zone. Case 1 was a 61-year-old man with a chronic traumatic descending TAA 12 mm away from the CA. Case 2 was a 79-year-old man with a descending TAA proximal to the CA. Preoperative angiography and computed tomography (CT) scan revealed a normal visceral blood flow including the peripancreatic arteries. Endovascular aneurysm repair with coverage of the CA was performed in both cases. Angiography after the EVAR demonstrated good blood flow to the CA branches via the peripancreatic arteries and a CT scan showed thrombosed aneurysms. Both patients were discharged without any abdominal symptoms. Endovascular aneurysm repair with a stent-graft covering the CA may therefore be an acceptable endovascular approach in treating selected TAA patients with a limited distal landing zone.
引用
收藏
页码：518 / 522
页数：4
相关论文
共 74 条
[1]  
Sugimoto I.(2004)Simultaneous open and endoluminal repair of ruptured abdominal and thoracic aortic aneurysms: report of a case Surg Today 34 961-964
[2]  
Ohta T.(2008)Hypothermic circulatory arrest: safety and efficacy in the operative treatment of descending and thoracoabdominal aortic aneurysms Ann Thorac Surg 85 956-964
[3]  
Ishibashi H.(2002)Successful endografting with simultaneous visceral artery bypass grafting for severely calcified thoracoabdominal aortic aneurysm J Vasc Surg 35 397-399
[4]  
Kawanishi J.(2000)Endovascular stent-graft deployment: temporary vena caval occlusion with balloons to control aortic blood flow-experimental canine study and initial clinical experience Radiology 215 594-599
[5]  
Yamada T.(2008)Contemporary management of descending thoracic and thoracoabdominal aortic aneurysms: endovascular versus open Circulation 117 841-852
[6]  
Nihei T.(2008)Paraplegia after extensive thoracic and thoracoabdominal aortic aneurysm repair: does critical spinal cord ischemia occur postoperatively? J Thorac Cardiovasc Surg 5 324-330
[7]  
Coselli J.S.(2007)Progression of abdominal aortic aneurysm after endovascular stent-grafting in a patient with Behçet’s disease: report of a case Surg Today 37 82-85
[8]  
Bozinovski J.(2007)Neurologic complications associated with endovascular repair of thoracic aortic pathology: incidence and risk factors. A study from the European Collaborators on Stent/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) Registry J Vasc Surg 46 1103-1111
[9]  
Cheung C.(1999)Repair of type IV thoracoabdominal aneurysm with a combined endovascular and surgical approach J Vasc Surg 30 555-560
[10]  
Watanabe Y.(2007)Hybrid open-endoluminal technique for repair of thoracoabdominal aneurysm involving the celiac axis J Endovasc Ther 7 513-519
12345678