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...

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Main Authors: 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
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
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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spelling doaj.art-d0e1bdbf715c4b1c824facf2fc4954d72022-12-22T03:58:00ZengHindawi 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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