Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction
Treatment of thoracic aortic aneurysms constitutes high mortality and morbidity rates despite improvements in surgery, anesthesia, and technology. Endovascular stent grafting may be an alternative therapy with lower risks when compared with conventional techniques. However, sometimes the branches of...
Main Authors: | , , , , , , , , , , , , |
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Format: | Article |
Language: | English |
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Hindawi Limited
2017-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2017/6568028 |
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author | Didem Melis Oztas Cagla Canbay Yilmaz Onal Metin Onur Beyaz Omer Ali Sayin Mehmet Barburoglu Mehmet Buget Mesut Yornuk Aziz Ari Murat Ugurlucan Bulent Acunas Ufuk Alpagut Enver Dayioglu |
author_facet | Didem Melis Oztas Cagla Canbay Yilmaz Onal Metin Onur Beyaz Omer Ali Sayin Mehmet Barburoglu Mehmet Buget Mesut Yornuk Aziz Ari Murat Ugurlucan Bulent Acunas Ufuk Alpagut Enver Dayioglu |
author_sort | Didem Melis Oztas |
collection | DOAJ |
description | Treatment of thoracic aortic aneurysms constitutes high mortality and morbidity rates despite improvements in surgery, anesthesia, and technology. Endovascular stent grafting may be an alternative therapy with lower risks when compared with conventional techniques. However, sometimes the branches of the aortic arch may require transport to the proximal segments prior to successful thoracic aortic endovascular stent grafting. Atherosclerosis is accounted among the etiology of both aneurysms and occlusive diseases that can coexist in the same patient. In these situations stent grafting may even be more complicated. In this report, we present the treatment of a 92-year-old patient with aortic arch aneurysm and proximal descending aortic aneurysm. For successful thoracic endovascular stent grafting, the patient needed an alternative route other than the native femoral and iliac arteries for the deployment of the stent graft. In addition, debranching of left carotid and subclavian arteries from the aortic arch was also required for successful exclusion of the thoracic aneurysm. |
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id | doaj.art-d0e1bdbf715c4b1c824facf2fc4954d7 |
institution | Directory Open Access Journal |
issn | 1687-9627 1687-9635 |
language | English |
last_indexed | 2025-02-18T10:19:54Z |
publishDate | 2017-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | Case Reports in Medicine |
spelling | doaj.art-d0e1bdbf715c4b1c824facf2fc4954d72024-11-02T05:31:33ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/65680286568028Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral ReconstructionDidem Melis Oztas0Cagla Canbay1Yilmaz Onal2Metin Onur Beyaz3Omer Ali Sayin4Mehmet Barburoglu5Mehmet Buget6Mesut Yornuk7Aziz Ari8Murat Ugurlucan9Bulent Acunas10Ufuk Alpagut11Enver Dayioglu12Department of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Anesthesia, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Anesthesia, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyIstanbul Training and Research Hospital, Department of General Surgery, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Radiology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyDepartment of Cardiovascular Surgery, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyTreatment of thoracic aortic aneurysms constitutes high mortality and morbidity rates despite improvements in surgery, anesthesia, and technology. Endovascular stent grafting may be an alternative therapy with lower risks when compared with conventional techniques. However, sometimes the branches of the aortic arch may require transport to the proximal segments prior to successful thoracic aortic endovascular stent grafting. Atherosclerosis is accounted among the etiology of both aneurysms and occlusive diseases that can coexist in the same patient. In these situations stent grafting may even be more complicated. In this report, we present the treatment of a 92-year-old patient with aortic arch aneurysm and proximal descending aortic aneurysm. For successful thoracic endovascular stent grafting, the patient needed an alternative route other than the native femoral and iliac arteries for the deployment of the stent graft. In addition, debranching of left carotid and subclavian arteries from the aortic arch was also required for successful exclusion of the thoracic aneurysm.http://dx.doi.org/10.1155/2017/6568028 |
spellingShingle | Didem Melis Oztas Cagla Canbay Yilmaz Onal Metin Onur Beyaz Omer Ali Sayin Mehmet Barburoglu Mehmet Buget Mesut Yornuk Aziz Ari Murat Ugurlucan Bulent Acunas Ufuk Alpagut Enver Dayioglu Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction Case Reports in Medicine |
title | Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction |
title_full | Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction |
title_fullStr | Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction |
title_full_unstemmed | Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction |
title_short | Endovascular Stent Grafting for Aortic Arch Aneurysm in Aortoiliac Occlusive Disease following Aortic Arch Debranching and Aortobifemoral Reconstruction |
title_sort | endovascular stent grafting for aortic arch aneurysm in aortoiliac occlusive disease following aortic arch debranching and aortobifemoral reconstruction |
url | http://dx.doi.org/10.1155/2017/6568028 |
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