Novel temporary endovascular shunt technique to assist in situ fenestration for endovascular reconstruction of the distal aortic arch.

Xiong, Jiang; Guo, Wei; Liu, Xiaoping; Jia, Xin; Ma, Xiaohui; Wang, Lijun · J Vasc Surg · 2015

case_report · Level V

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Abstract

Thoracic endovascular aortic repair (TEVAR) of arch pathology presents special challenges for revascularization. To obtain an anatomic reconstruction of the arch arteries, in situ fenestration with extra-anatomic bypass has been increasingly used in TEVAR. We report a case involving TEVAR for a pseudoaneurysm at zone 2 of the thoracic aorta in a 37-year-old man with the use of in situ fenestration assisted by a temporary endovascular shunt technique.

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