Hybrid Three-Stage Repair for Extended Thoracoabdominal Aortic Aneurysm: Report of A Case

DOI Web Site 参考文献8件
  • Kihara Kazuki
    Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
  • Tamura Kentaro
    Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
  • Chikazawa Genta
    Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
  • Sakaguchi Taichi
    Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
  • Totsugawa Toshinori
    Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan
  • Yoshitaka Hidenori
    Department of Cardiovascular Surgery, the Sakakibara Heart Institute of Okayama, Okayama, Okayama, Japan

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A 67-year-old man complicated with back pain. The computed tomography (CT) scan showed an extended thoracoabdominal aneurysm. We successfully performed a three-stage hybrid repair using the visceral-renal debranching technique. For the first stage operation we performed Y-grafting with the debranching technique to create a distal landing zone. Then, for the second stage operation, we performed the hybrid procedure including total arch replacement (TAR) and antegrade stent graft deployment to create a proximal landing zone. Finally, additional thoracic endovascular aortic repair (TEVAR) between the distal and proximal landing zones was successfully accomplished as the third stage operation.

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