• Asad A Shah, Syamal D Bhattacharya, Richard L McCann, and G Chad Hughes.
• Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
• J. Vasc. Surg. 2011 May 1; 53 (5): 1398-401.

AbstractHybrid procedures combining traditional open and newer endovascular techniques are increasingly used to treat complex aortic disease. We present a novel approach for total aortic replacement, including hybrid repair of the arch and thoracoabdominal aorta, in a patient with "mega-aorta syndrome." A two-stage approach using a valve-sparing aortic root replacement, total arch replacement (stage I elephant trunk), and left carotid-axillary bypass was used to treat the root, proximal-mid arch, and left subclavian aneurysmal pathology. This was followed by a hybrid distal arch/Extent II thoracoabdominal aneurysm repair 3 months later. After 15 months follow-up, the patient remains asymptomatic with an intact repair, no endoleak, and normal ventricular and aortic valve function. This case demonstrates a novel "pan-aortic" hybrid approach for repair of extensive thoracic aortic disease.Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

34 keywords...

hide…