Hybrid procedure to treat aortic arch aneurysm combined with aortic arch coarctation and left internal carotid artery aneurysm (Case Report)

Zhou, Wei; Qiu, Jian; Zeng, Qian

doi:10.1186/1749-8090-9-3

Cited by 6 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Conventional anatomical aortoplasty, which requires cardiopulmonary bypass or deep hypothermic circulatory arrest, would be complicated and carries a high mortality and morbidity risk. [ 4 ] Endovascular approach such as percutaneous balloon dilatation and stent implantation is not suitable in cases with extensive calcification and is associated with a high procedural risk of aortic rupture. In this setting, bypass grafting between the ascending and descending aorta, instead of aortic arch reconstruction, is also effective in relieving trans-coarctation gradient and improving systemic blood perfusion.…”

Section: Discussionmentioning

confidence: 99%

Two-stage hybrid treatment strategy for an adult patient with aortic arch coarctation, poststenotic aneurysm, and hypoplastic left subclavian artery

Chen²,

Chen³

et al. 2017

Medicine

View full text Add to dashboard Cite

Rationale:Coarctation of aorta in adulthood is usually complicated by other cardiovascular anomalies, posing great technical challenge for intervention.Patient concerns:Here, we report an extremely rare case of aortic arch coarctation combined with a poststenotic biloculated calcified aneurysm and hypoplastic left subclavian artery.Interventions:First, an extra-anatomic bypass was established, along with narrowing of aorta just proximal and distal to the aneurysm. While the bypass graft significantly relieved trans-coarctation gradient, the latter procedure decreased intra-aneurysm pressure and created landing zones for aneurysm occlusion. Six months later, 2 muscular ventricular septal defect occluders were deployed at the proximal and distal orifice of the aneurysm.Outcomes:Follow-up computed tomography angiography confirmed the absence of contrast leakage into aneurysm.Conclusions:A 2-stage hybrid approach described here appears to be feasible, safe, and associated with favorable clinical outcomes in the treatment of complicated aortic coarctation and poststenotic aneurysm.

show abstract

Section: Discussionmentioning

confidence: 99%

Two-stage hybrid treatment strategy for an adult patient with aortic arch coarctation, poststenotic aneurysm, and hypoplastic left subclavian artery

Chen²,

Chen³

et al. 2017

Medicine

View full text Add to dashboard Cite

show abstract

“…(5). However, as to a rare case with COA complicated by aneurysm of aortic arch and its branches, the former two algorithms has been indicated as a treatment of choice as evidenced by current guideline (6)(7)(8)(9). Endovascular reconstruction of supraaortic branches coexisting with COA has not been reported according to current medical library.…”

Section: Introductionmentioning

confidence: 99%

Single-stage endovascular management of complicated thoracic aorta coarctation concurrent with aortic arch aneurysm using a novel fenestration device

et al. 2018

View full text Add to dashboard Cite

To present a case with aorta coarctation complicated by aortic arch aneurysm which is clinical rare and entails a high risk of rupture. Here we reported a 46-year-old female patient diagnosed with aortic arch aneurysm combined with coarctation. The computed tomography angiography shows that an irregular aneurysm was located at the aortic arch site with its maximal diameter 86.55 mm and the right end of aneurysm was located 10 mm away from the ostium of left common carotid artery (LCCA). The aneurysm body invaded the left subclavian artery, and at the distal end of aneurysm a coarctation had been observed with a minimum diameter reaching 2.7 mm. We performed percutaneous balloon angioplasty, thoracic endovascular aortic repair to exclude the aneurysm, and simultaneously used a novel in situ fenestration device (Quick-Fenestrater) to revascularize the covered LCCA. This is first case of using a novel fenestration device single-stage endovascular treatment of complicated thoracic aorta coarctation concurrent with aortic arch aneurysm. Combined endovascular techniques can elevate the success rate of reconstruct complicated aorta aneurysm concurrent with coarctation and reduce complications. Under the guidance of QuickFenestrater, in situ fenestration could be performed with safety and a high success frequency.

show abstract

Treatment of Extracranial Carotid Artery Aneurysm: Fifteen Years’ Experience at a Single Institution

Qiu

Zhou

Zhu

et al. 2020

Annals of Vascular Surgery

View full text Add to dashboard Cite

Hybrid procedure to treat aortic arch aneurysm combined with aortic arch coarctation and left internal carotid artery aneurysm (Case Report)

Cited by 6 publications

References 11 publications

Two-stage hybrid treatment strategy for an adult patient with aortic arch coarctation, poststenotic aneurysm, and hypoplastic left subclavian artery

Two-stage hybrid treatment strategy for an adult patient with aortic arch coarctation, poststenotic aneurysm, and hypoplastic left subclavian artery

Single-stage endovascular management of complicated thoracic aorta coarctation concurrent with aortic arch aneurysm using a novel fenestration device

Treatment of Extracranial Carotid Artery Aneurysm: Fifteen Years’ Experience at a Single Institution

Contact Info

Product

Resources

About