Document Detail

Successful repair of thoracoabdominal aortic aneurysm secondary to chronic dissection by hybrid therapy comprising surgical visceral reconstruction and dual Inoue stent graft implantation.
MedLine Citation:
PMID:  18440199     Owner:  NLM     Status:  MEDLINE    
Crawford type II thoracoabdominal aortic aneurysm (TAAA) secondary to chronic dissection was successfully treated with hybrid therapy comprising surgical visceral reconstruction and dual Inoue stent graft implantation. The proximal single-branched Inoue stent graft effectively sealed the entry located near the left subclavian artery and simultaneously excluded the TAAA, while the distal tubular Inoue stent graft sealed the reentry; thus, the artery of Adamkiewicz was left unexcluded and intact between the two Inoue stent grafts. The visceral arteries were reconstructed using a quadrifurcated retrograde bypass with posterior aortic tunneling and end-to-end distal anastomosis to all four vessels to achieve a curved and smooth configuration.
Takeshi Shimamoto; Keiichi Tambara; Akira Marui; Takeshi Nishina; Yoshiaki Saji; Katsuya Ueno; Kanji Inoue
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-25
Journal Detail:
Title:  Annals of vascular surgery     Volume:  23     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  410.e7-11     Citation Subset:  IM    
Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Sakyo, Kyoto, Japan.
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MeSH Terms
Anastomosis, Surgical
Aneurysm, Dissecting / radiography,  surgery*
Aortic Aneurysm, Thoracic / radiography,  surgery*
Aortography / methods
Arteries / surgery
Blood Vessel Prosthesis*
Blood Vessel Prosthesis Implantation / instrumentation*
Chronic Disease
Middle Aged
Polyethylene Terephthalates
Prosthesis Design
Tomography, X-Ray Computed
Treatment Outcome
Viscera / blood supply*
Reg. No./Substance:
0/Polyethylene Terephthalates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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