Hybrid Thoracic Endovascular Aortic Repair for Intercostal Patch Aneurysm after Thoracoabdominal Aortic Replacement

Hiroto Kitahara; Akihiro Yoshitake; Takashi Hachiya; Kazuma Okamoto; Akinori Hirano; Mio Kasai; Yuta Akamatsu; Hidetoshi Oka; Hideyuki Shimizu

doi:10.3400/avd.cr.15-00108

Case Reports

Hybrid Thoracic Endovascular Aortic Repair for Intercostal Patch Aneurysm after Thoracoabdominal Aortic Replacement

Hiroto Kitahara, Akihiro Yoshitake, Takashi Hachiya, Kazuma Okamoto, Akinori Hirano, Mio Kasai, Yuta Akamatsu, Hidetoshi Oka, Hideyuki Shimizu

Author information

Hiroto Kitahara
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Akihiro Yoshitake
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Takashi Hachiya
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Kazuma Okamoto
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Akinori Hirano
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Mio Kasai
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Yuta Akamatsu
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Hidetoshi Oka
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan
Hideyuki Shimizu
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan

Keywords: thoracic endovascular repair, thoracoabdominal aortic replacement, intercostal patch aneurysm

JOURNAL FREE ACCESS

2015 Volume 8 Issue 4 Pages 340-342

DOI https://doi.org/10.3400/avd.cr.15-00108

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Abstract

We report a case of hybrid thoracic endovascular aortic repair for intercostal patch aneurysm after thoracoabdominal aortic replacement. Eighteen years ago, a 63-year-old woman with Marfan syndrome had undergone thoracoabdominal aortic replacement with reimplantation of the intercostal artery in an island fashion. Follow-up computed tomography (CT) revealed a remaining intercostal patch aneurysm of diameter 60 mm 17 years after the last operation. Hybrid thoracic endovascular aortic repair for exclusion of this intercostal patch aneurysm was successfully performed, with visceral artery bypasses. Postoperative CT showed no anastomotic stenosis or endoleak.

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