Hybrid Thoracic Endovascular Aortic Repair for Intercostal Patch Aneurysm after Thoracoabdominal Aortic Replacement

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  • Kitahara Hiroto
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Yoshitake Akihiro
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Hachiya Takashi
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Okamoto Kazuma
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Hirano Akinori
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Kasai Mio
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Akamatsu Yuta
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Oka Hidetoshi
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
  • Shimizu Hideyuki
    Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan

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We report a case of hybrid thoracic endovascular aortic repair for intercostal patch aneurysm after thoracoabdominal aortic replacement. Eighteen years ago, a 63-year-old woman with Marfan syndrome had undergone thoracoabdominal aortic replacement with reimplantation of the intercostal artery in an island fashion. Follow-up computed tomography (CT) revealed a remaining intercostal patch aneurysm of diameter 60 mm 17 years after the last operation. Hybrid thoracic endovascular aortic repair for exclusion of this intercostal patch aneurysm was successfully performed, with visceral artery bypasses. Postoperative CT showed no anastomotic stenosis or endoleak.

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