A simple method of intraoperative preparation of a stent graft for distal aortic arch aneurysm

Abstract

urgical repairs of distal aortic arch aneurysm still have many problems, such as neurologic injury, pulmonary injury, phrenic or recurrent nerve paralysis, and bleeding at the distal site of anastomosis associated with insufficient sutures caused by a limited surgical view, clotting disturbances as a result of deep hypothermia, or both. To make the surgical treatment less invasive, Kato and colleagues 1 developed a new surgical technique that uses an endovascular stent graft without dissection, incision, and sutures on the end of the descending aorta. However, preoperative preparation of the stent graft is required for this type of operation. Thus we have developed a simple method preparing a stent graft intraoperatively and have applied it to 3 cases of distal aortic arch aneurysm.

Multidetector CT of the thoracic aorta

“…Thoracic aortic aneurysms commonly originate at the junction of the aortic arch and descending aorta. The term distal aortic arch aneurysm is applied when the aneurysm involves the origin of the left subclavian artery [30][31][32] and extends into the descending aorta. Aneurysms are often classified depending on vessel wall integrity as true or false.…”

Author index∗ ∗January, 1–226; February, 227–450; March, part 1, 451–772; March, part 2, S1–S100, April, 773–982; May, 983–1196; June, 1197–1626.

“…2003;125:254-60 Tsurumi Y (see Endo et al). 2003;125:570-7 Tsurusaki S (see Kunitomo et al). 2003;125:1535-7 (Brief comm Kiziltepe et al).…”