Surgical treatment of an aortic arch aneurysm without cardio-pulmonary bypass: endovascular stent-grafting after extra-anatomic bypass of supra-aortic vessels
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چکیده
منابع مشابه
Ruptured aortic arch aneurysm: transposition of aortic arch branches after insertion of thoracic endovascular stent with extra-anatomic brain perfusion.
Conventional surgical treatment of a ruptured aortic arch aneurysm is a challenging approach with a high rate of adverse outcomes. The midsternotomy can be complicated by total aortic disruption with often fatal massive hemorrhage. A preliminary cardiopulmonary bypass with peripheral cannulation and cooling is often preferred. Endovascular stents have been used in patients with thoraco-abdomina...
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Mycotic aneurysm is a disease requiring immediate treatment because of the high risk of rupture. A difficult surgical approach, especially in the case of occurrence on the iliac artery, involving endovascular embolization and extra-anatomic bypass grafting, is known to be a suitable treatment. We performed extra-anatomic bypass grafting after endovascular embolization successfully in two patien...
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Figures 1 and 2 describe the management of a 47-year old patient presenting with a chronic false aneurysm after an extra-anatomic bypass placed for aortic coarctation during childhood. The condition was treated with two covered stents of decreased diameters and an hourglass-shaped plug. Post-procedure and control imaging at 1 year showed no complications. Figure 1: Preoperative findings. (A) Th...
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Introduction Coarctation of the aorta (CoAo) is a congenital narrowing of the proximal region of the descending aorta, adjacent to the site of insertion of the ductus arteriosus or ligamentum arteriosum. Less frequently, the CoAo is located more proximally, between the left common carotid and left subclavian arteries, or in other segments of the aortic arch. It can occasionally occur in the des...
متن کاملHybrid treatment of complex aortic arch disease with supra-aortic debranching and endovascular stent graft repair.
BACKGROUND Aortic arch disease has conventionally been the domain of open surgical repair. Hybrid open and endovascular repair has evolved as an alternative, less invasive, treatment option with promising results. A systematic literature review and analysis of the reported outcomes was undertaken. METHODS An Internet-based literature search using MEDLINE was performed to identify all studies ...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2005
ISSN: 1010-7940
DOI: 10.1016/j.ejcts.2004.07.051