Total endovascular treatment of an aortic arch aneurysm in a patient with a mechanical aortic valve.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 24951372.
- Also identified by DOI 10.1016/j.ejvs.2014.05.011.
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Abstract
Endovascular repair of aortic arch aneurysms using an inner-branched device is a new treatment option for patients unfit for open surgery. There are many anatomical restrictions, such as the presence of a mechanical aortic valve that can contraindicate this complete endovascular approach. A new delivery system to overcome this issue has been developed. This new system was used to treat an aortic arch aneurysm 77 mm in diameter in a 37-year-old patient with Marfan's syndrome. The patient was considered to be at major risk for open surgery because of severe respiratory insufficiency following a second sternotomy. Total endovascular arch aneurysm repair is no longer contraindicated in patients with a mechanical aortic valve.
Medical subject headings
- Aortic Aneurysm, Thoracic
- Aortic Valve Insufficiency
- Blood Vessel Prosthesis Implantation
- Endovascular Procedures
- Heart Valve Prosthesis
- Heart Valve Prosthesis Implantation
- Marfan Syndrome