A new off-pump hybrid open and endovascular repair to treat ductus botalli and ascendens aneurysms

Felice Pecoraro, Felice Pecoraro, Frank Veith, Mario Lachat, Zoran Rancic, Thomas Pfammatter, Dieter Mayer

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

To report a combined ascending aorta and aortic arch hybrid repair, we performed off-pump with no aortic graft replacement.A 65-year-old man, developing progressive recurrent laryngeal nerve paralysis, underwent a computed tomography (CT) angiographydetecting nonPatent residual ductus Botalli aneurysm and ascending aorta aneurysm. Due to severe multimorbidities, aless-invasive alternative was elaborated. ln a first step, appropriate proximal landing zone for aortic stent grafting was achievedby ascending aorta diameter reduction, with epiaortic wrapping, and debranching the supra-aoftic trunk. ln the second step,endovascular stent grafts were deployed from proximal ascending aorta to descending aofta, excluding the ductus Botalli aneurysm.Six-month follow-up CT shows ductus Botalli aneurysm exclusion, stable stent graft position, and ascending diameter andPatent and stenosis-free suPra-aoftic grafts. This case supports this alternative treatment to open aortic repair under circulatoryarrest and deep hypothermia, especially in those patients considered unfit for such invasive treatment.
Original languageEnglish
Pages (from-to)172-175
Number of pages4
JournalVascular and Endovascular Surgery
Volume46
Publication statusPublished - 2012

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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