J Korean Med Sci.  2011 Mar;26(3):444-446. 10.3346/jkms.2011.26.3.444.

Hybrid Endovascular Repair of Thoracic Aortic Aneurysm in a Patient with Behcet's Disease Following Right to Left Carotid-carotid Bypass Grafting

• Hong S
• Park HK
• Shim WH
• Youn YN

• KMID: 2157885
• DOI: http://doi.org/10.3346/jkms.2011.26.3.444

Abstract

Endovascular repair of inflammatory aortic aneurysms has been reported as an alternative to open surgical treatment. In selective cases, adjunctive bypass surgery may be required to provide an adequate landing zone. We report a case of endovascular repair of an inflammatory aortic aneurysm in a patient with Behcet's disease using a carotid-carotid bypass graft to provide an adequate landing zone. A 45-yr-old man with a voice change was referred to our hospital with the diagnosis of saccular aneurysm of the distal aortic arch resulting from vasculitis. Computed tomography showed a thoracic aortic aneurysm with thrombosis. Right to left carotid-carotid bypass grafting was performed. After 8 days, the patient underwent an endovascular stent graft placement distal to the origin of the innominate artery. The patient was discharged with medication and without postoperative complications after 5 days. Hybrid endovascular treatment may be suitable a complementary modality for repairing inflammatory aortic aneurysms.

Keyword

Endovascular Repair; Aortic Aneurysm; Inflammatory; Carotid-Carotid Bypass; Behcet Syndrome

MeSH Terms

Aortic Aneurysm, Thoracic/complications/radiography/*surgery
Behcet Syndrome/*complications/surgery
Blood Vessel Prosthesis Implantation/*methods
Carotid Arteries/physiopathology/*surgery
Coronary Artery Bypass
Endovascular Procedures
Humans
Male
Middle Aged
Stents
Thrombosis/complications
Tomography Scanners, X-Ray Computed
Vasculitis/complications