Contrivance to Preserve Lumbar Arteries on a Hybrid Thoracic Endovascular Aortic Repair for a Thoracoabdominal Aneurysm: A Case Report

DOI 1 Citations 10 References
  • Okamoto Keitaro
    Department of Cardiovascular Surgery, Oita University, Oita, Japan
  • Miyamoto Shinji
    Department of Cardiovascular Surgery, Oita University, Oita, Japan
  • Hongo Norio
    Department of Radiology, Oita University, Oita, Japan
  • Wada Tomoyuki
    Department of Cardiovascular Surgery, Oita University, Oita, Japan
  • Shuto Takashi
    Department of Cardiovascular Surgery, Oita University, Oita, Japan
  • Mori Hiromu
    Department of Radiology, Oita University, Oita, Japan

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  • 腰動脈を温存しHybrid TEVAR を行った胸腹部大動脈瘤の1 例

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Abstract

An 82-year-old woman suspected of thoracoabdominal aortic aneurysm impending rupture was admitted for an emergency. The aorta was sharply bent just below the renal arteries. A hybrid thoracic endovascular aortic repair (TEVAR) was performed. On the first day after transecting the aorta just below the renal arteries, a straight graft was interposed between the proximal aorta and the left common iliac artery, the distal aorta was anastomosed to a bifurcated graft and its legs were used for debranching four visceral arteries. Next day, TEVAR was executed via the femoral artery. The postoperative course was uneventful without paraplegia. As a result, she was discharged on foot on 19th postoperative day.

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