CC BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2018; 07(01): e24-e26
DOI: 10.1055/s-0038-1660834
Case Report: Vascular
Georg Thieme Verlag KG Stuttgart · New York

Successful Surgical Abdominal Aortic Debranching Preceding Stent Graft Implantation: A Case Report

Magdalena L. Laux
1  Department of Cardiovascular Surgery, Brandenburg Heart Center, University Hospital, Brandenburg Medical School Theodor Fontane, Bernau, Germany
,
Michael Erb
1  Department of Cardiovascular Surgery, Brandenburg Heart Center, University Hospital, Brandenburg Medical School Theodor Fontane, Bernau, Germany
,
Frank Hoelschermann
2  Department of Cardiology, Brandenburg Heart Center, Bernau, Germany
,
Johannes M. Albes
1  Department of Cardiovascular Surgery, Brandenburg Heart Center, University Hospital, Brandenburg Medical School Theodor Fontane, Bernau, Germany
› Author Affiliations
Further Information

Publication History

02 January 2018

02 May 2018

Publication Date:
28 June 2018 (online)

Abstract

Background Acute endovascular aneurysm repair with stent grafts (thoracic endovascular aortic repair [TEVAR]) is safe and feasible.

Case Description A 64-year-old female presented with a perforated aortic aneurysm of the thoracic descending aorta. Primary TEVAR resulted in good management of the perforation but a type Ib endoleakage remained postoperatively. To place another stent, abdominal debranching with saphenous vein bypass to the celiac trunk was required. In the same session, another endograft was inserted successfully.

Conclusion Abdominal debranching is a safe alternative to open aortic repair in acute thoracic and abdominal aneurysms, instead of waiting for a custom-made device.

Note

The article was presented in annual meeting, DGTHG Leipzig, Germany, February 13, 2017.