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    
Abstract/OtherAbstract:
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.
Authors:
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    
Affiliation:
Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Sakyo, Kyoto, Japan. shimamo@kuhp.kyoto-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
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
Female
Humans
Middle Aged
Polyethylene Terephthalates
Prosthesis Design
Stents*
Tomography, X-Ray Computed
Treatment Outcome
Viscera / blood supply*
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates

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


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