Korean J Med.
2014 Feb;86(2):218-223.
A Hybrid Approach for Thoracic Aortic Arch Aneurysms in Two Patients at High Operative Risk
- Affiliations
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- 1Department of Internal Medicine, Good Samsun Hospital, Busan, Korea.
- 2Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea. glaraone@hanmail.net
- 3Department of Thoracic & Cardiovascular Surgery, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
Abstract
- A large aortic aneurysm invading the aortic arch can be catastrophic if rupture occurs. In the past, the standard treatment was an open thoracotomy followed by total aortic arch replacement. However, open surgery is difficult in patients at high operative risk. Consequently, thoracic endovascular aortic repair (TEVAR) is preferred in high-risk patients. In patients with a short proximal landing whose aortic aneurysm invades the aortic arch, TEVAR is not available because of innominate, left carotid, and left subclavian artery occlusion. We report two cases in which aortic aneurysms invaded the aortic arch, and who were treated with TEVAR after a supra-aortic artery bypass operation.
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