Annals of Thoracic and Cardiovascular Surgery
Online ISSN : 2186-1005
Print ISSN : 1341-1098
ISSN-L : 1341-1098
Case Reports
Perfect and Least Invasive Sealing Technique on the Lesser Curvature of the Aortic Arch: Application of a Novel Stent Graft to an Aneurysm Developing on a Postoperative Ductus Arteriosus
Takeshi SoedaYoshihiko YokoiKoichi YuriYuuhei SaitoShuji SetozakiHisao Harada
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2013 Volume 19 Issue 2 Pages 162-165

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Abstract

A 78-year-old woman who underwent an operation for a patent ductus arteriosus (PDA) about thirty years ago developed an aneurysm on the aortic side of the remnant ductal tissue. To avoid risky, open surgery, we performed endovascular aortic therapy using a novel stent graft (SG), which was pre-curved, fenestrated and custom-made type. This graft was designed to configure to the patient’s whole aortic arch anatomy, and was capable of accurately adjusting its fenestrations to the arch branch orifices during the procedure. The operation was successful, and the patient was discharged uneventfully on 16th postoperative day. The advantage of this fenestrated SG is close sealing, especially over the lesser curvature of the arch. This device could be a simple and effective option to deal with an otherwise normal aortic arch with such a ductus-related localized lesion.

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© 2013 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

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