Hybrid Operation of Posttraumatic Dissecting Aneurysm of Descending Aorta - Case Report

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Hybrid Operation of Posttraumatic Dissecting Aneurysm of Descending Aorta - Case Report

A case is presented of a 48-year old patient, hospitalized in 1st Clinic of General and Vascular Surgery, 2nd Medical Faculty, Warsaw Medical University. The patient underwent successful hybrid treatment for a dissecting aneurysm of the descending aorta. The dissection was repaired using a bimodular stent-graft Zenith TX-2 Zenith, Cook, covering origins of the left subclavian artery and left common carotid artery. Blood flow in the neck was restored using non-anatomical anastomoses: the left common carotid artery was connected with the right common carotid artery and left subclavian artery.

Hunt JP, Baker CC, Lentz CW et al.: Thoracic aortic injuries: management and outcome of 144 patients. J Trauma 1996: 40; 547-55.

Lundevall J: The mechanism of traumatic aortic rupture. Acta Pathol Microbiol Scand 1964; 62: 34-46.

Macura KJ, Corl FM, Fishman EK et al.: Pathogenesis in acute aortic syndromes: aortic dissection, intramural hematoma, and penetrating atherosclerotic aortic ulcer. Am J Roentgenol 181 (2): 309-16.

Maggisano R, Nathens A, Alexandrova NA et al.: Traumatic rupture of the thoracic aorta: should one always operate immediately? Ann Vasc Surg 1995; 9: 44-52.

Svensson LG: Natural history of aneurysms of the descending and thoracoabdominal aorta. J Card Surg 1997; 12: 279-84.

Ung Kim, Sung-Jin Hong, Jaedeok Kim et al.: Intermediate to Long-term Outcomes of Endoluminal Stent-Graft Repair in Patients With Chronic Type B Aortic Dissection. J Endovasc Ther 2009; 16(1): 42-47.

Crawford ES, Svensson LG, Hess KR et al.: A prospective randomized study of cerebrospinal fluid drainage to prevent paraplegia after high-risk surgery on the thoracoabdominal aorta. J Vasc Surg 1991; 13: 36-45.

Biederman A, Grajek S, Janaszek-Sitkowska H i wsp.: Standardy postępowania w ostrym rozwarstwieniu aorty piersiowej. Kardiol Pol 2003; 58: 162-68.

Huptas S, Mehta RH, Kühl H et al.: Aortic remodeling in type B aortic dissection: effects of endovascular stent-graft repair and medical treatment on true and false lumen volumes. J Endovasc Ther 2009; 16(1): 28-38.

Joseph J, Bavaria E, Jehangir J et al.: Endovascular stent grafting versus open surgical repair of descending thoracic aortic aneurysms in low-risk patients: A multicenter comparative trial. Thorac Cardiovasc Surg 2007; 133: 369-77.

Jon S Matsumura, Barry T Katzen, Larry H Hollier et al.: Update on the bifurcated EXCLUDER endoprosthesis: Phase I results. J Vasc Surg 2001; 33(2): 150-53.

Dake MD, Miller DC, Semba CP et al.: Transluminal placement of endovascular stent-grafts for the treatment of descending thoracic aortic aneurysms. N Engl J Med 1994 29; 331(26): 1729-34.

Dagenais F, Dumont E, Voisine P: Intramural hematoma of the arch and ascending aorta owing to acute aortic syndrome of the descending aorta: to stent or not to stent? J Endovasc Ther 2008; 15(5): 544-49.

Tiesenhausen K, Hausegger KA, Oberwalder P et al.: Left subclavian artery management in endovascular repair of thoracic aortic aneurysms and aortic dissections. J Card Surg 2003; 18(5): 429-35.

Galili O, Fajer S, Eyal A et al.: Left subclavian artery occlusion by thoracic aortic stentgraft: long-term clinical and duplex follow-up. Isr Med Assoc J 2007; 9(9): 668-70.

Qu L, Raithel D: Two-year single-center experience with thoracic endovascular aortic repair using the EndoFit thoracic stent-graft. J Endovasc Ther 2008; 15(5): 530-38.

Nienaber CA, Kische S, Rehders TC et al.: Rapid pacing for better placing: comparison of techniques for precise deployment of endografts in the thoracic aorta. J Endovasc Ther 2007; 14(4): 506-12.

Tomas Ohrlander, Björn Sonesson, Krasnodar Ivancev et al.: The Chimney Graft: A Technique for Preserving or Rescuing Aortic Branch Vessels in Stent-Graft Sealing Zones. J Endovasc Ther 2008; 15(4): 427-32.

Zachary K. Baldwin, Timothy A. M. Chuter, Jade S. Hiramoto et al.: Double-Barrel Technique for Endovascular Exclusion of an Aortic Arch Aneurysm Without Sternotomy. J Endovasc Ther 2008; 15(2): 161-65.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

Journal Information

CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207


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