A novel approach for the endovascular repair of the small thoracic aorta: customizing off-the-shelf endoluminal grafts to treat a post-coarctation pseudoaneurysm.

Kpodonu, Jacques; Wheatley, Grayson H; Williams, James P; Rodriguez-Lopez, Julio A; Ramaiah, Venkatesh G; Diethrich, Edward B · Ann Thorac Surg · 2008

case_report · Level V

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Abstract

Surgical repair of post-coarctation pseudoaneurysm is associated with high morbidity and mortality. Endovascular stent grafting is a minimally invasive approach to manage this condition. The small thoracic aorta provides a dilemma for endovascular stent grafting using available commercially available thoracic endografts. We describe a hybrid approach including a novel technique to customize various components of the abdominal endoluminal grafts to repair a post-coarctation pseudoaneurysm. The patient is doing well at 1-year follow-up with no endoleaks.

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