Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Easo, J; Hölzl, P; Dikov, V; Chavan, A; Dapunt, O.
Frozen elephant trunk procedure in a dextropositioned arch and descending aorta.
J ENDOVASC THER. 2010; 17(6): 751-754.
Doi: 10.1583/10-3169.1
(- Case Report)
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Dapunt Otto Eugen
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- Abstract:
- To describe the use of a hybrid frozen elephant trunk technique to treat a patient suffering from a multisegmentally diseased, dextropositioned aortic arch and right descending aorta. The technique is illustrated in a 58-year-old woman who was diagnosed with chronic type A aortic dissection in a right aortic arch and descending aorta; a lusoric left subclavian artery passed behind the esophagus. Aneurysmal dilatation of the arch and descending aorta required treatment. A frozen elephant trunk procedure was performed in a single stage via a median sternotomy using a hybrid Chavan-Haverich endograft, with complete surgical replacement of aortic arch. The stents for the endograft were placed in the descending aorta in an antegrade fashion through the opened aortic arch. This case demonstrates the feasibility of treating complex pathologies of the thoracic aorta even in cases of aberrant anatomy. A conventional 2-stage approach for treatment of the complex pathology could have been complicated due to difficulties with exposure.
- Find related publications in this database (using NLM MeSH Indexing)
- Aneurysm, Dissecting - radiography Aneurysm, Dissecting - surgery
- Aorta, Thoracic - abnormalities Aorta, Thoracic - radiography Aorta, Thoracic - surgery
- Aortic Aneurysm, Thoracic - radiography Aortic Aneurysm, Thoracic - surgery
- Aortography - methods
- Blood Vessel Prosthesis -
- Blood Vessel Prosthesis Implantation - instrumentation
- Chronic Disease -
- Endovascular Procedures - instrumentation
- Female -
- Humans -
- Magnetic Resonance Angiography -
- Middle Aged -
- Prosthesis Design -
- Stents -
- Sternotomy -
- Tomography, X-Ray Computed -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- thoracic aortic dissection
- endovascular repair
- frozen elephant trunk
- dextroposition of aortic arch
- hybrid procedure
- stent-graft