Total Endovascular Repair of Post-dissection Aortic Arch Aneurysm With Chimney Technique.

Liang, Wei-Tao; Wang, Su; Zhou, Jian; Han, Chen-Jun; Liu, Qiang; Wu, Xiao-Yun; Zang, Wang-Fu · Ann Thorac Surg · 2017

case_report · Level V

Where this comes from

Abstract

Open surgery remains the standard procedure for treatment of aortic arch pathologies. However, total endovascular repair can be a safe option for patients who are poor candidates for surgery because of compromised physiology. We report the case of a 63-year-old man with a post-dissection aortic arch aneurysm. We repaired the aneurysm using thoracic endovascular aortic repair (TEVAR) and used the chimney technique to reconstruct the supra-aortic branches. The patient is doing well after 12-month follow-up, demonstrating that TEVAR with the chimney technique can be used successfully for the treatment of post-dissection arch aneurysm.

Medical subject headings