Hybrid and staged repair in the treatment of a case with extensive aortic aneurysm

Hikmet İyem,

Hikmet İyem¹, Yılmaz Cirban¹, Ahmet Memiş², Suat Büket¹

¹Özel Kent Hastanesi, Kalp ve Damar Cerrahisi Bölümü, İzmir
²Özel Kent Hastanesi, Girişimsel Radyoloji Bölümü, İzmir

In this article we present a successful management of a case with extensive aortic aneurysm which was treated by a combination of open surgery and endovascular stent grafting. Cardiopulmonary bypass was established via right femoral and right atrial cannulation. Patient was cooled down till 18 degrees and following the cardiac arrest, Bentall procedure was performed by using a composite graft. A 26 mm Talent endovascular stent was placed into the descending aorta through arcus aorta under direct vision. Later on, distal anastomosis was performed for the total hemiarcus replacement. The distal part of the composit graft and the proximal part of the hemiarcus graft was anastomosed during rewarming. After one week, a second endovascular stent graft was placed into the descending aorta under general anesthesia in peripheric angiography laboratory and the treatment was completed.

Keywords : Aortic aneurysm, abdominal; aortic aneurysm/surgery; cardiopulmonary; hemiarcus replacement; hybrid

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