Permanent URL to this publication: http://dx.doi.org/10.5167/uzh-60679
Pecoraro, Felice; Pfammatter, Thomas; Lachat, Mario; Mayer, Dieter; Veith, Frank; Rancic, Zoran (2012). A new off-pump hybrid open and endovascular repair to treat ductus botalli and ascendens aneurysms. Vascular and Endovascular Surgery, 46(2):172-175.
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To report a combined ascending aorta and aortic arch hybrid repair, we performed off-pump with no aortic graft replacement. A 65-year-old man, developing progressive recurrent laryngeal nerve paralysis, underwent a computed tomography (CT) angiography detecting nonpatent residual ductus Botalli aneurysm and ascending aorta aneurysm. Due to severe multimorbidities, a less-invasive alternative was elaborated. In a first step, appropriate proximal landing zone for aortic stent grafting was achieved by ascending aorta diameter reduction, with epiaortic wrapping, and debranching the supra-aortic trunks. In the second step, endovascular stent grafts were deployed from proximal ascending aorta to descending aorta, excluding the ductus Botalli aneurysm. Six-month follow-up CT shows ductus Botalli aneurysm exclusion, stable stent graft position, and ascending diameter and patent and stenosis-free supra-aortic grafts. This case supports this alternative treatment to open aortic repair under circulatory arrest and deep hypothermia, especially in those patients considered unfit for such invasive treatment.
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|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Clinic for Diagnostic and Interventional Radiology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Cardiovascular Surgery
|Dewey Decimal Classification:||610 Medicine & health|
|Deposited On:||10 Apr 2012 07:19|
|Last Modified:||01 Dec 2013 13:20|
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