TY - JOUR
T1 - Failure to exclude a saccular arch aneurysm during hybrid repair: arch replacement without cerebral circulatory arrest
AU - Dronavalli, Vamsidhar
AU - Loubani, M
AU - Riley, P
AU - Bonser, Robert
PY - 2009/1/1
Y1 - 2009/1/1
N2 - Thoracic endovascular aortic reconstruction (TEVAR) is increasingly used in the management of descending aortic pathology including aneurysms, dissections and transaction. When treating aortic arch pathology, hybrid procedures have been devised, in which major supra-aortic arteries are translocated using a variety of techniques. Such hybrid procedures offer an attractive alternative to open arch procedures in frail elderly patients in whom the risks of open repair are considerable. We describe a surgical bail-out procedure which was used during a hybrid aortic arch replacement when endovascular aneurysm exclusion could not be achieved.
AB - Thoracic endovascular aortic reconstruction (TEVAR) is increasingly used in the management of descending aortic pathology including aneurysms, dissections and transaction. When treating aortic arch pathology, hybrid procedures have been devised, in which major supra-aortic arteries are translocated using a variety of techniques. Such hybrid procedures offer an attractive alternative to open arch procedures in frail elderly patients in whom the risks of open repair are considerable. We describe a surgical bail-out procedure which was used during a hybrid aortic arch replacement when endovascular aneurysm exclusion could not be achieved.
U2 - 10.1510/icvts.2009.208413
DO - 10.1510/icvts.2009.208413
M3 - Article
C2 - 19633027
SN - 1569-9285
VL - 9
SP - 667
EP - 669
JO - Interactactive Cardiovascular and Thoracic Surgery
JF - Interactactive Cardiovascular and Thoracic Surgery
IS - 4
ER -