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CC BY 4.0 · Aorta (Stamford) 2021; 09(05): 190-192
DOI: 10.1055/s-0041-1732398
Case Report

Using an Endovascular Strategy in the Open Setting: The Challenges of Hybrid Repair Using Frozen Elephant Trunk in an Extensively Dilated Aorta Associated with Coarctation

Bertram Harrington 
1   Newcastle University Medical School, Framlington Place, Newcastle-upon-Tyne, United Kingdom
,
Iain McPherson 
2   Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom
,
Christopher Bayliss
2   Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom
,
Sion Barnard
2   Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom
,
James McCaslin 
2   Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom
,
Robin Williams
2   Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom
,
Karen Booth
2   Department of Cardiothoracic Surgery, Freeman Hospital, Newcastle-upon-Tyne, United Kingdom
› Author Affiliations Funding None.
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Abstract

With both stenosis and aneurysm, repairing a severely tortuous and coarcted aorta can present certain difficulties. The advent of hybrid arch frozen elephant trunk techniques, as well as other endovascular solutions, has produced safer surgical repair methods for such cases. We present the reconstruction and repair of a Type-1 thoracoabdominal aortic aneurysm using a staged approach in less-than-optimal anatomy. Interventions included hybrid frozen elephant trunk, balloon dilation, and thoracic endovascular repair.

Keywords

aortic arch - hybrid intervention - frozen elephant trunk - coarctation of the aorta - aneurysm


Publication History

Received: 18 September 2020

Accepted: 21 March 2021

Article published online:
08 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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