Hybrid Arch Frozen Elephant Trunk for Persistent Endoleak After Thoracic Endovascular Aortic Repair.

Landau, John H; Dubois, Luc A; Chu, Michael W A · Ann Thorac Surg · 2017

case_report · Level V

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Abstract

Aneurysms of the distal aortic arch and proximal descending thoracic aorta remain challenging to treat. Whereas thoracic endovascular aortic repair (TEVAR) with arch debranching has provided a more minimally invasive option for patients with such aneurysms, recurrent type Ia endoleaks can be difficult or impossible to treat with further endovascular intervention. We report the successful use of a hybrid arch and frozen elephant trunk graft for the treatment of a patient with a recurrent type Ia endoleak after TEVAR and arch debranching.

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