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.
|Numero di pagine||4|
|Rivista||Vascular and Endovascular Surgery|
|Stato di pubblicazione||Published - 2012|
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