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.
Lingua originale | English |
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pagine (da-a) | 172-175 |
Numero di pagine | 4 |
Rivista | Vascular and Endovascular Surgery |
Volume | 46 |
Stato di pubblicazione | Published - 2012 |
All Science Journal Classification (ASJC) codes
- ???subjectarea.asjc.2700.2746???
- ???subjectarea.asjc.2700.2705???